Examinando por Autor "Pérez, Maritza"
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- PublicaciónAcceso abiertoHyperglycaemia is associated with worse outcomes in Latin-American individuals with acute myocardial infarction(2016) Gómez Arbeláez, Diego; Sánchez Vallejo, Gregorio; Pérez, Maritza; García, Ronald G.; Arguello, Jhon Freddy; Peñaherrera, Ernesto; Duarte, Yan Carlos; Casanova, Maria Eugenia; Accini, Jose Luis; Sotomayor Rubio, Aristides; Camacho López, Paul Anthony; Lopez-Jaramillo, PatricioIntroducción Las alteraciones en el metabolismo de la glucosa son un factor de riesgo y de peor pronóstico para infarto agudo de miocardio (IAM), pero esta información en población latinoamericana es limitada. Por tanto, evaluamos la asociación del estado glucémico con desenlaces a corto y largo plazo en pacientes con un primer IAM. Métodos Estudio observacional de cohorte, multicéntrico, prospectivo, conducido en 8 hospitales de Colombia y Ecuador. Resultados Se incluyeron en total 439 pacientes con diagnóstico confirmado de IAM, de los cuales 305 (69,5%) presentaron prediabetes o diabetes mellitus tipo 2 (DM2). En comparación con el grupo de normoglucemia, los pacientes con DM2 conocida presentaron mayor riesgo de estancia hospitalaria prolongada (HR: 2,60, IC 95%: 1,38-4,92, p = 0,003), de Killip clase iii/iv (HR: 9,46, IC 95%: 2,20-40,62, p = 0,002) y de insuficiencia cardiaca intrahospitalaria (HR: 10,76, IC 95%: 3,37-34,31, p < 0,001). Los pacientes con prediabetes, DM2 conocida y DM2 nueva tuvieron tasas más altas de episodios adversos cardiovasculares mayores en el seguimiento a 3 años. Conclusión Alteraciones en el metabolismo de la glucosa tienen una importante significación pronóstica a corto y a largo plazo en pacientes latinoamericanos sobrevivientes a un primer IAM.
- PublicaciónAcceso abiertoMay Measurement Month 2017(ESC - European Society of Cardiology, 2019-04-01) Lopez-Jaramillo, Patricio; Otero, Johanna; Rueda-Quijano, Sandra Milena; Camacho López, Paul Anthony; Rey, Juan José; Sánchez, Gregorio; Narváez, Claudia; Accini, José Luis; Arcos, Edgar; García, Henry; Pérez, Maritza; Aroca, Gustavo; Beaney, Thomas; Kobeissi, Elsa; Poulter, Neil R.; MasiraDespite the availability of efficient methods to evaluate blood pressure (BP) and of safe and efficient medication to treat and control hypertension, the levels of awareness, treatment and control are very low globally, particularly in low- and middle-income countries. To highlight the importance of improving these rates, the International Society of Hypertension (ISH) endorsed by the World Hypertension League have implemented the May Measurement Month initiative. We present here the results obtained in Colombia. The Fundación Oftalmológica de Santander (FOSCAL) led the implementation of this strategy in Colombia and 11 departments participated. The data collection followed the guidelines of the ISH. The information collected was compiled for the report generation and the submission to the Technical Secretariat of the ISH. Data cleaning was performed locally by FOSCAL. Data were collated and analysed centrally. A total of 22 258 participants (58.8% female) were included in the analysis. Mean age was 40.9 ± 17.7 years. Age and sex-standardized BP excluding participants receiving BP medications was 118/74.3 mmHg, and in those on treatment 125/78 mmHg. High BP was present in 5036 (22.8%) individuals, 1637 of 18 644 (8.8%) who were not receiving anti-hypertensive medications were hypertensive, and 961 of 3359 (28.6%) receiving treatment were not controlled. These results highlight the need to develop innovative promotion strategies at individual and population levels to increase the awareness of the importance of BP, and the consequences of not having well-controlled hypertension. This initiative is an effective and easy to implement strategy that should be maintained in the coming years.
- PublicaciónAcceso abiertoSelf-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments(World Heart Federation, 2020-04-21) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Otero, Johanna; González-Gómez, Silvia; Molina, Dora I.; Sanchez, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernandez-Triana, Eric; Durán Parra, Myriam; Cure, Carlos; Sotomayor, Aristides; Rico, Alvaro; Cotes, Fresia; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, Patricio; EverestBackground: Chronic non-communicable diseases are prevalent conditions in developing countries, such as Colombia. Several socioeconomic and educational factors have been associated with these pathologies. However, there is little country-specific information regarding the self-reported prevalence of chronic diseases and their association with the aforementioned factors in Colombia. Objectives: To evaluate the current situation of chronic non-transmissible diseases in Colombia by self-report and to analyze its potential relationship with sociodemographic, economic and educational factors. Methods: This is a cross-sectional baseline sub-analysis from the prospective, standardized collaborative PURE study in Colombia. Participants were recruited between 2005 to 2009, in 11 departments of the country, and included 7,485 subjects of 35 to 70 years old. Questionnaires of self-reported chronic non-communicable diseases, and demographic, socioeconomic and educational variables were applied. Results: Hypertension was the most prevalent chronic condition reported with a prevalence of 22.2% (21.2%–23.1%, 95% CI), followed by diabetes with a prevalence of 5.7% (5.1%–6.2%, 95% CI), asthma 2.7% (2.2%–3.0%, 95% CI), coronary heart disease 2.4% (2.0%–2.7%, 95% CI), stroke and heart failure 1.5% (1.2%–1.8%, 95% CI) each, chronic obstructive pulmonary disease 1.2% (0.6%–1.5%, 95% CI), and cancer 1.2% (1.0%–1.5%, 95% CI). Among the study sample, 23.3% (22.4%–24.3%, 95% CI) reported having one chronic NCDs, and 6.4% (5.9%–7.0%, 95% CI) reported having multiple chronic NCDs. The prevalence of multiple NCDs increased significantly with age, was more common in those from households with higher income, whereas it was significantly lower in persons with high education. The central and central-east regions of the country are those with the higher prevalence of self-reported NCDs. Conclusion: The results of the current study indicate the presence of socioeconomic and educational inequalities in the distribution of chronic NCDs in the Colombian population.
- PublicaciónAcceso abiertoSocial disparities explain differences in hypertension prevalence, detection and control in Colombia(2016-08-12) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Molina, Dora I.; Sánchez Vallejo, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernández, Erick A.; Durán Parra, Myriam; Cure, Carlos; Sotomayor Rubio, Aristides; Rico, Alvaro; David Venegas, Tannia-Melissa; Cohen, Daniel Dylan; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, PatricioObjective: Hypertension is the principal risk factor for cardiovascular diseases. The global Prospective Urban Rural Epidemiology study showed that the levels of awareness, treatment and control of this condition are very low worldwide and show large regional variations related to a country’s income index. The aim of the present analysis was to identify associations between sociodemographic, geographic, anthropometric, behavioral and clinical factors and the awareness, treatment and control of hypertension within Colombia – a high-middle income country which participated in the global Prospective Urban Rural Epidemiology study. Methods and results: The sample comprised 7485 individuals aged 35–70 years (mean age 50.8 years, 64% women). Mean SBP and DBP were 129.12 21.23 and 80.39 11.81 mmHg, respectively. The overall prevalence of hypertension was 37.5% and was substantially higher amongst participants with the lowest educational level, who had a 25% higher prevalence (<0.001). Hypertension awareness, treatment amongst those aware, and control amongst those treated were 51.9, 77.5 and 37.1%, respectively. The prevalence of hypertension was higher amongst those with a higher BMI (<0.001) or larger waist–hip ratio (<0.001). Being male, younger, a rural resident and having a low level of education was associated with significantly lower hypertension awareness, treatment and control. The use of combination therapy was very low (27.5%) and was significantly lower in rural areas and amongst those with a low income. Conclusion: Overall Colombia has a high prevalence of hypertension in combination with very low levels of awareness, treatment and control; however, we found large variations within the country that appear to be associated with sociodemographic disparities.
- PublicaciónAcceso abiertoThe spectrum of the dyslipidemia in Colombia. The PURE study(2019) Camacho López, Paul Anthony; Otero, Johanna; Pérez, Maritza; Arcos, Edgar; García, Henry; Narvaez, Claudia; Molina, Dora I.; Sánchez Vallejo, Gregorio; Durán Parra, Myriam; Cure, Carlos; Sotomayor Rubio, Aristides; Rico, Alvaro; Cotes, Fresia; Rangarajan, Sumathy; Yusuf, Salim; Cohen, Daniel Dylan; González Gómez, Silvia; Clausen, Christian; Lopez-Jaramillo, PatricioBackground Dyslipidemia is a major risk factor for cardiovascular diseases (CVD). Worldwide, a third of ischemic heart disease is due to abnormal cholesterol levels and it is the most common cause of cardiovascular deaths in Colombia. In Colombia, no representative, large-scale study has assessed the prevalence of dyslipidemia. The aim of the present analysis was to identify the magnitude of the problem in Colombia, a middle-income-country with large regional, geographic, and socio-economical differences. Material and methods The sample comprised 6628 individuals aged 35 to 70 years (mean age 50.7 years, 64.1% women) residing in the four Colombian regions. Results The overall prevalence of dyslipidemia was 87.7% and was substantially higher among participants older than 50 years, male, rural residents, and those with a lower level of education (66.8%), and with a lower income (66.4%). High non HDL-c was the most common abnormality (75.3%). The values of total cholesterol and non-HDL-cholesterol were higher in areas with the lowest health needs index than in the areas with intermediate and highest health need index, the isolated HDL-c value was much lower. Conclusion Colombia has a high prevalence of abnormalities of the lipid profile. The causes of the high rates of dyslipidemia were not well define in this study, but were more common in rural and poorer regions and among those with lower socio-economical status. Strategies to tackle the adverse lipid profile to reduce CVD are needed in Colombia, particularly in rural areas and among the areas with the higher health need index.