A study with more than 9 thousand patients, men and women, in basic health units in 32 cities in São Paulo showed that people do not control the main risk factors for the heart. The Epidemiological Study of Community Information (Epico) revealed that cholesterol, hypertension and diabetes have zero control rates.
In the case of cholesterol, analyzed in isolation, the control was only 16%. Only 25% had blood glucose levels within the recommended goals, and blood pressure was out of control by 48% of participants. The study was conducted by the Society of Cardiology of the State of São Paulo (Socesp).
“The research result was surprising, as only 16% of patients with high cholesterol had values within the targets, 52% of hypertensive patients had blood pressure control and only 25% had blood glucose within the targets. When the control of all factors was evaluated, none of the 9 thousand surveyed had control. These results show that there is a need for patient education, continuous use of medications, implementation of measures aimed at healthy lifestyle to increase control rates ”, commented the director of Promotion and Research at Socesp, Maria Cristina de Oliveira Izar.
For her, the lack of global control of risk factors was the most surprising. “We know that even if treated, if patients are not under control, there is a residual risk that cardiovascular events may continue to occur. For this reason, it is very important to control all risk factors to values within the recommended targets. In addition, it is necessary to try to maintain the ideal weight, eliminate smoking and practice physical exercises on a routine basis, maintaining a healthy lifestyle ”.
Epico proved that the cardiovascular mortality rates in the state of São Paulo have not dropped in the last decade, unlike what happened in most of the countries compared. After the survey, the next stage of the study will be to develop a strategy to pay more attention to cardiovascular risk factors and their impact on mortality rates, in order to reduce them.
World Heart Day
To warn about the complications of cardiovascular diseases, Socesp promotes awareness actions in its site and in social media, in order to promote more quality of life in the month of World Heart Day, celebrated in this Tuetuesday (29). THE slogan campaign is “We take care of your heart” and offers tips on healthy eating, physical activity, fighting stress and information for smokers to leave their cigarettes safely.
There are also a series of videos recorded by members of the entity’s eight multiprofessional departments, with specialists in physical education, nursing, pharmacology, physiotherapy, nutrition, dentistry, psychology and social work, in addition to a group of studies on palliative care.
“These are actions aimed at the prevention of cardiovascular diseases and the control of risk factors, but they also address the other extreme, which is that of patients at risk of life and in cardiovascular emergencies. Focusing on prevention is essential, especially during the pandemic, the decrease in demand for health and emergency services has caused higher rates of unattended deaths, lack of control of risk factors and clinical worsening of patients ”, warned Maria Cristina.
According to the entity, changes in habit can impact up to 80% on a person’s chances of suffering a heart attack or stroke (stroke) in the next ten years. According to Maria Cristina, changes can be made simultaneously, whenever possible.
“We must note that for those who are already in the habit of exercising, there are apps and videos that can assist in health promotion. However, for those who do not exercise, the supervision of a physical education professional is recommended, as well as the guidance of a nutritionist. The exercise modality chosen should be one that the individual likes to practice, that is compatible with their condition and can be done for at least 30 minutes on five days a week ”, he advised.
Covid-19 and the heart
The covid-19 pandemic has raised greater concern about cardiovascular disease, since the virus has a greater impact on heart disease patients. “We do not have the full dimension of the impact that the coronavirus TueIt will be in the future, but we know that it is essential to take care of our hearts now, since cardiopaths have greater complications when they are contaminated ”, said the president of Socesp, João Fernando Monteiro Ferreira.
Cardiovascular diseases worldwide kill more than any other cause: about 17.9 million each year, according to the World Health Organization. In Brazil, there are 400,000 deaths annually. Much of the risk factors for the heart are modifiable, such as physical inactivity, unhealthy diet, high blood pressure, tobacco use, uncontrolled cholesterol, obesity and being overweight. The non-modifiable factors are family history and diabetes, but they can be mitigated.