Risco cardiovascular segundo o escore de Framingham em pacientes dispépticos com indicação ao exame de endoscopia digestiva alta

Abstract

Complaints related to the digestive system are among the most common reasons that lead adults to seek health services. Among the reasons that lead patients to hospitals are dyspeptic complaints. Cardiovascular diseases can be defined as a group of conditions that affect the heart and blood vessels, presenting a diverse set of clinical manifestations. The causes of cardiovascular diseases are multifactorial and involve the complex interaction of genetic, behavioral and environmental factors. as a valuable resource, in order to provide an efficient health screening not only directed to complaints related to the gastrointestinal system, but also to cardiovascular diseases, considering their high prevalence and mortality in the population. Thus, the objective was to identify the cardiovascular risk according to the Framingham score and associate it with anthropometric parameters, results of the upper digestive endoscopy examination and Helicobacter pylori infection in dyspeptic patients treated at a public endoscopy service. This is a cross-sectional study carried out from October 2021 to March 2023, in a public endoscopy service, in Imperatriz, Maranhão. The sample was carried out for convenience, including patients who had dyspeptic complaints and aged between 20 and 79 years, in the waiting room for the upper digestive endoscopy examination, where information on socioeconomic conditions was collected through a semi-structured form. electronics in a cell phone application, applied in the waiting room of the service. Clinical characteristics and endoscopic diagnoses were obtained from the patients' charts. Laboratory tests were also collected by trained participants of the research team. The research was previously submitted to the Ethics Committee for Research involving human beings at the Federal University of Maranhão (UFMA) and approved under opinion No. 3,212,699. Ninety-five patients with dyspeptic symptoms seen at a public endoscopy service were analyzed. It was observed that the majority were female (73.68%), married (62.10%), studied for more than eight years (76.84%), had a monthly income of less than 2 minimum wages (63, 15%), non drinkers (63.15%), non-smokers (76.84%) and did not practice physical activity (64.20%). Age ranged between 20 and 79 years, with a mean age of 43.74 (standard deviation of 15.33). It was observed that 88.42% of the patients were classified according to the Framingham Risk Score as Low Cardiovascular Risk (BRCV), 8.42% as Moderate Cardiovascular Risk (MRCV), and 3.16% as High Cardiovascular Risk (ARCV) and Helicobacter pylori infection in 31.63% among the analyzed dyspeptic patients. It was observed that there was no association between gastrointestinal diseases and H. pylori infection with the risk of developing cardiovascular diseases in patients with dyspeptic symptoms analyzed.