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HIPERTENSION Y CARDIOPATIA ISQUEMICASITUACION EN CENTROAMERICA
Dr. Daniel MenesesCardiólogo Intervencionista
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Cad. Saúde Pública, Rio de Janeiro, 19(Sup. 1):S163-S170, 2003
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Type 2 diabetes, the metabolic syndrome and
cardiovascular disease in Europe
• By 2025 the number of people with diabetes is expected to rise by
• 20% in Europe • 50% in North America• 75% in the Western Pacific• 85% in South and Central America.
• For developing countries, there will be a projected increase of a 170% of cases;
• For developed countries, there will be a projected rise of 42%.
• Diabetes is the fourth main cause of death in most developed countries.
Diabetes – a growing threat
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Source: WHO 2010
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Aterosclerosis Prenatal
REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 73 Nº 5 / SEPTIEMBRE-OCTUBRE 2005
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Aterosclerosis Infantil
REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 73 Nº 5 / SEPTIEMBRE-OCTUBRE 2005
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
1. PERDIDA DE IDENTIDAD MESOAMERICANA
2.. ABORDAJE TIPO USA /EUROPA CUESTIONABLE
3. ESTRATEGIAS DE PREVENCION POBRES
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
PERDIDA DE IDENTIDAD MESOAMERICANA
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
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Que tienen en Común aparte de Asociarse con Enfermedad Coronaria ?• Sobrepeso
• Obesidad
• Síndrome metabólico
• Dislipidemia
• Diabetes Mellitus
• Hipertensión Arterial
• Hiperuricemia
• Hígado graso
• Cardiopatía Isquémica
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
30 DE MAYO 1498, SANTO DOMINGO
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
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Epidemia de sobrepeso, obesidad, síndrome metabólico, diabetes o de consumo excesivo de azúcar ?
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Diabetes Care 33:2477–2483, 201
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J Am Soc Nephrol 21: ●●●–●●●, 2010.
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ROL DEL AZUCAR SULFITADO EN LAS ENFERMEDADES
CARDIOVASCULARES
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Indios yanomanos,amazonasExcrecion urinaria de sodio: 1-2 mcromol diario
Oliver WJ, Cohen EL. Neel JV. Blood pressure, sodium intake and sodium related hormones in theYanomano Indians, a "no-salt" culture. Circulation 1975; 52:146-15
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REGLA NICARAGUENSE DE LA SAL Y EL QUESO UNO POR UNO
X
1 ONZA 1 LIBRA30 gramos de CLNa14 gramos de Sodio
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Cubitos de Pollo
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Sopa de Vasitos
1 unidad: 1300 mgs
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Salsa de Soya
1 cucharadita: 1032 mgs
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ADEREZO DE ENSALADAS
1 cucharadita: 550 mgs de sodio
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Jugo 8 onzas: 620 mgs de sodio
Jugos de vegetales saludables
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100 gramos: 1100 mgs de sodio
Cereales saludables
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ANALGESICOS EFERVESCENTES
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Argentina
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chile
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colombia
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
ABORDAJE TIPO USA /EUROPA CUESTIONABLE
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Of 136,905 patients hospitalized with CAD, 77% had normal LDL levels below 130 mg/dl
Modified from Sachdeva et al. AHJ, Vol 157, 111-117 Jan 2009Chapter 1: Preventive Cardiology; the SHAPE of the Future in Naghavi et al. Asymptomatic Atherosclerosis:
Pathophysiology, Detection and Treatment. Humana Press, 2009
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Modified from Sachdeva et al. AHJ, Vol 157, 111-117 Jan 2009Chapter 1: Preventive Cardiology; the SHAPE of the Future in Naghavi et al. Asymptomatic Atherosclerosis:
Pathophysiology, Detection and Treatment. Humana Press, 2009
Of 136,905 patients hospitalized with CAD, 45.4% had normal HDL levels above 40 mg/dl
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Of 136,905 patients hospitalized with CAD, 61.8% had normal triglyceride levels below 150 mg/dl
Modified from Sachdeva et al. AHJ, Vol 157, 111-117 Jan 2009Chapter 1: Preventive Cardiology; the SHAPE of the Future in Naghavi et al. Asymptomatic Atherosclerosis:
Pathophysiology, Detection and Treatment. Humana Press, 2009
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OBESOFUMADORSEDENTARIO
Sr. Winston Churchill , 91 años
No SOBREPESONO FUMADORMUY ACTIVO
Jim Fixx, 53 años
QUIEN TIENE MAYOR RIESGO CARDIOVASCULAR BASADO EN SU SCORE ?
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No SOBREPESONO FUMADORMUY ACTIVO
Jim Fixx, 53 años
QUIEN TIENE MAYOR RIESGO CARDIOVASCULAR BASADO EN SU SCORE ?
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En >50% de los casos, la
primer manifestación de
aterosclerosis
asitomatica es la muerte
súbita o el infarto del
miocardio.
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CANCER DE COLON Y ATEROSCLEROSIS. LO QUE DEBEMOS APRENDER DE LOS ONCOLOGOS
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MASCULNO DE 70 AÑOS, HIPERTRIGLICERIDEMIA, HIPERTENSION, PRUEBAS DE ESFUERZO NEGATIVAS CADA AÑO POR CINCO AÑOS
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Coronary Calcium Progression
Calcium Score: 56 Calcium Score: 90 Calcium Score: 128
Volume Score: 45 Volume Score: 78 Volume Score: 113
1993 1995 1997
Progression of Right coronary artery calcium score over 5 years
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Carotid Intima Media Thickness (CIMT)
• Direct in vivo measurement of thickness of carotid artery wall by B-mode ultrasound
• Vessel wall thickness correlates with status of atherosclerosis and CV events
• Atherosclerosis is a systemic disorder– Atherosclerosis in the carotid artery is predictive of disease in other
vascular beds
de Groot E, et al. Circulation. (2004) 109[Suppl III]:III-33-III-38.
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Evidence That CIMT Predicts Clinical Disease
• Epidemiologic Data
– CHS (Cardiovascular Health Study)1
– ARIC (Atherosclerosis Risk in Communities Study)2,3
– Rotterdam Study4
– CLAS (Cholesterol Lowering Atherosclerosis Study) post-treatment long-term outcomes follow-up5
• Clinical Trials with Lipid Modifying Drugs1. O’Leary DH, Polak JF, Kronmal RA, et al. N Engl J Med. 1999;340:14-22. 2. Chambless LE, Heiss G, Folsom AR, et al. Am J Epidemiol. 1997;146:483-494. 3. Chambless LE, Heiss G, Clegg LX, et al. Am J Epidemiol. 2000;151:478-487. 4. Bots ML, Hoes AW, Koudstaal PJ, et al. Circulation. 1997;96:1432-1437. 5. Hodis HN, Mack WJ, LaBree L, et al. Ann Intern Med. 1998;128:262-269.
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Cardiovascular Health Study: Combined intimal-medial thickness predicts total MI and stroke
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HIPERTENSION ARTERIAL Y CARDIOPATIA
ISQUEMICA EN CENTROAMERICA
ESTRATEGIAS DE PREVENCION POBRES
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MUCHAS GRACIAS