Author(s)

Bruna Lais da Silva Coutinho¹, Rosana Andrade Brito¹, Ana Isabel Cezário de Carvalho Conceição¹, Fabíola de Jesus Cardoso¹, Andreza Silva dos Santos¹, Bruno Felipe Ferreira Lopes¹, Rubson Dantas da Silva¹, Polyane Medeiros Alves¹, Raiane dos Santos Pereira¹, Álvaro Luís Müller da Fonseca²

¹Department of Education (DEDC7), Universidade do Estado da Bahia (UNEB), Senhor do Bonfim, Brazil.
²Immunology Laboratory (LAIM), Department of Education (DEDC7), Universidade do Estado da Bahia (UNEB), Senhor do Bonfim, Brazil.

The Systemic Arterial Hypertension (SAH) stands out among the chronic non-transmissible pathologies that impact the cause and/or aggravation of cardiovascular diseases (CVD) on a global level, as the disease is an underestimated disorder due to non-perceptive symptoms and associated with factors and risk markers of another CVD. Therefore, establishing the risk of progression and aggravation of the SAH, according the Framingham Risk Score (FRS), allows to reducing morbidity and improving preventative measures for DCVs. This observational and transversal study approaches the data collection of patient records at the Health Family Strategy of Senhor do Bonfim, BA, which established differences by descriptive and inferential statistical analysis (correlation and regression). The aspects of hypertension associated with risk factors for atherosclerosis were analyzed, determining the risk of developing cardiovascular events in 10 years by FRS. From 432 families, 746 patients were selected, of which 340 are hypertensive individuals (SAH = 45.57%) and 406 (NSAH = 54.42%) non-hypertensives. Among the SAH the majority (31.17%) was in the age range of 63 - 77, but, in both groups, women were in stronger number. There was greater prevalence in SAH for all the characteristics analyzed, smoking (13.20%), sedentary (29.41%) and cardiovascular accident (22.60%). The SAH group is more susceptive to the CVD progress in 10 years by FRS (P < 0.0001 ANOVA). In the NSAH group, there were significant associations among all the variables analyzed as was expected, without differences between the linear correlation and regression, indicating the physio-metabolic equilibrium of the factors and markers evaluated by FRS. Already in SAH group, despite the correlations have been significant too, the regression analysis revealed that only Total Cholesterol (P = 0.0086); LDL (P < 0.0001), Glucose (P < 0.0006) and Age (P < 0.0001) have significative association with FRS. So, these factors and markers deserve more attention upon the health staff of Health Family Strategy, in the SAH course at studied population, attempt the highest cardiovascular risk by FRS (2.5 to 2.8 times) to SAH. The monitoring of high-risk patients should prioritize the lifestyle changes, employing preventive measures to SAH and CVD and atherosclerosis.

Hypertension, Risk Factors, Atherosclerosis, Cardiovascular Diseases, Framingham Risk Score, Family Health Strategy

Coutinho, B. , Brito, R. , Conceição, A. , Cardoso, F. , Santos, A. , Lopes, B. , Silva, R. , Alves, P. , Pereira, R. and Fonseca, Á. (2018) Hypertension Associated with Atherosclerosis Risk Factors in Patients of Family Health Strategy Highlighting the Framingham Risk Score. Open Journal of Preventive Medicine, 8, 229-247. doi: 10.4236/ojpm.2018.88020.