IJCS | Volume 33, Nº3, May / June 2020

DOI: https://doi.org/10.36660/ijcs.20180078 217 ORIGINAL ARTICLE International Journal of Cardiovascular Sciences. 2020; 33(3):217-224 Mailing Address: Tiago Moreira Av. Peter Henry Rolfs, s/n. Postal Code: 36570-000, Campus Universitário, Viçosa, MG – Brazil. E-mail: tiago.ricardo@ufv.br Evaluation of Cardiovascular Risk in Hypertensive Individuals Attending a Primary Health Care Center Tiago Ricardo Moreira, 1 L uana Vieira Toledo, 1 Érica Toledo Mendonça, 1 R enata Maria Colodette, 2 L uciana Saraiva Silva, 3 Rosângela Minardi Mitre Cotta 1 Universidade Federal de Viçosa, 1 Viçosa, MG - Brazil Escola Nacional de Saúde Pública - Sergio Arouca, 2 Rio de Janeiro, RJ - Brazil Universidade Federal de Uberlândia (UFU), 3 Uberlândia, MG - Brazil Manuscript received November 06, 2018; revised manuscript June 28, 2019; accepted September 25, 2019. Abstract Background: Cardiovascular risk (CVR) stratification has traditionally been used as a strategy for the prevention of cardiovascular diseases in asymptomatic people. Objective: To identify the CVR in hypertensive patients attending a primary health care center, using the Framingham risk score, and to evaluate possible associations and correlations with sociodemographic, clinical and laboratory variables not included in this score. This cross-sectional study was conducted with hypertensive patients treated in a primary health care center in Brazil (n = 166). Methods: Data collection, administration of questionnaires, anthropometric measurements and laboratory tests were performed from July to August 2013. Multiple linear regression was used in the analysis. A two-tailed p-value < 0.05 was considered significant. Results: High CVR was independently associated with male sex (B = 8.73; 95%CI: 6.27: 11.19), high serum levels of total cholesterol (B = 0.05; IC95%: 0.02: 0.08), number of drugs used (B = 0.55; 95%Ci: 0.12: 0.98) and a low glomerular filtration rate (GFR) (B = -0.11; 95%CI: -0.18 : -0.03). Conclusion: The results of this study reinforce the importance of continuous and longitudinal care practices directed to hypertensive patients aiming at early detection of risk factors and appropriate intervention to improve the prognosis of this population. (Int J Cardiovasc Sci. 2020; 33(3):217-224) Keywords: Cardiovascular Diseases/mortality; Risk Factors; Hypertension; Life Style; Treatment Adherence anf Compliance; Sedentarism; Obesity; Prevention and Control. Introduction Arterial hypertension (AH) has been considered one of the main problems of current public health not only because of its high prevalence, but also because of the impact on the quality of life of the population and the health system. According to international data, it is responsible for 45% of cardiac deaths. 1 In Brazil, approximately 36 million adults are affected by the disease, contributing to 50% of deaths from cardiovascular diseases (CVDs). 2 AH is sometimes considered asymptomatic, which makes the early diagnosis and individuals’ adherence to treatment a challenge. However, when untreated, it represents a risk for cardiovascular complications, such as acute myocardial infarction (AMI), stroke and kidney diseases. 3 In light of this, efforts have been directed to the formulation of public policies seeking to identify and intervene on modifiable risk factors. 4 For an individualized approach of hypertensive patients, the Ministry of Health proposes the use of