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Previous issue date: 2013-11-27 / The aim of the present study was to analyze cardiovascular risk of women with
a history of preeclampsia, as well as its follow-upin the National Health
System.This is a cross-sectional quantitative research conducted at the
Janu?rio Cicco Maternity School. The study population was composed of 573
women selected from a databank belonging to the Women s Health Research
Group of the Gynecology Department at Universidade Federal do Rio Grande
do Norte, with a history of preeclampsia, and normotensives who gave birth at
this institution five years before. The final sample consisted of 147 women, 64 in
the group with a history of PE and 83 normotensives. Data were collected on a
questionnaire containing the following: sociodemographic aspects,
anthropometric measures, life habits, personal and family history of pregnancy-induced hypertension, family history of cardiovascular diseases and frequency
of measuring current blood pressure levels. In relation to the association
between cardiovascular risk and altered blood pressure (≥130x85 mmHg), the
likelihood of exhibiting the latter condition was significantly higher in women with
a history of preeclampsia (CI 95% 4.12-38.92), the overweight and obese (CI
95% 1.70-20.75), and in those with a family historyof CVD and personal history
of PIH (CI 95% 0.78-47.07 and CI 95% 3.20-25.39) respectively. Likewise, the
probability of having altered blood pressure was higher in women with fasting
glycemia ≥100mg/dL (CI 95% 2.09-24.73), as well as in those with triglycerides
≥150mg/dl (CI 95% 1.72-9.66). After fitting the logistic model, diagnosis
previous preeclampsia and altered triglycerides remained as explanatory
variables.The women with a history of preeclampsia five years before exhibited
altered blood pressure levels, clinical and laboratory manifestations suggestive
of elevated risk for cardiovascular disease, as well as family and personal
history of hypertension. There is no differential treatment or adequate outpatient
follow-up for this population in basic health care units / O estudo teve como objetivo analisar o risco cardiovascular atual em mulheres
com hist?rico de pr?-ecl?mpsia havia cinco anos e oseu seguimento no
Sistema ?nico de Sa?de. Trata-se de pesquisa quantitativa do tipo transversal,
realizada na Maternidade Escola Janu?rio Cicco. Avaliaram-se 147 mulheres,
sendo 64 com hist?rico de pr?-eclampsia, comparadasa 83 com gesta??o
normal. A pesquisa foi realizada atrav?s de busca ativa com coleta de sangue
para mensura??o bioqu?mica de marcadores cardiovasculares e verifica??o da
press?o arterial. Averiguaram-se aspectos sociodemogr?ficos, medidas
antropom?tricas, h?bitos de vida, antecedentes pessoais e familiares para
hipertens?o na gesta??o e antecedentes familiares de doen?a cardiovascular.
Utilizou-se pacote estat?stico para as an?lises considerando n?vel de
signific?ncia de 5%. O estudo foi aprovado pelo Comit? de ?tica em Pesquisa
da Universidade do Federal do Rio Grande do Norte. No que se refere ?
associa??o entre condi??es de risco cardiovascular e presen?a de n?veis
press?ricos alterados (≥130x85 mmHg), observa-se que a chance de ter
press?o arterial alterada foi significativamente maior nas mulheres com
hist?rico de pr?-ecl?mpsia (P< 0,001), nas com sobrepeso e obesas (P=
0,002), e ainda entre as com antecedente familiar de doen?a cardiovascular
(P= 0,039) e com antecedente pessoal de doen?a hipertensiva da gesta??o (P<
0,001). Da mesma forma, a chance de ter press?o arterial alterada foi maior
nas mulheres com glicemia de jejum ≥100mg/dL (P= 0,002), bem como nas
com triglicer?deos ≥150mg/dl (P= 0,001). Conclui-se que as mulheres com
hist?rico de pr?-ecl?mpsia havia cinco anos apresentavam atualmente
manifesta??es sugestivas de risco elevado para doen?a cardiovascular,
antecedentes familiares e pessoais de hipertens?o, bem como n?o h?
atualmente atendimento diferenciado, nem seguimentoambulatorial adequado
nas redes de aten??o prim?ria para essa popula??o
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13329 |
| Date | 27 November 2013 |
| Creators | Silva, Maria de Lourdes Costa da |
| Contributors | CPF:70410798487, http://lattes.cnpq.br/7207146627442417, Silva, Antonia Oliveira, CPF:32199724468, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4788600J7, Costa, Iris do C?u Clara, CPF:14076152468, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794938J9, Carvalho, Maria Goretti Freire de, CPF:05601592420, http://lattes.cnpq.br/8934375314306198, Souza, Nilba Lima de, CPF:42997186404, http://lattes.cnpq.br/3552543432083948, Ara?jo, Ana Cristina Pinheiro Fernandes de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias da Sa?de, UFRN, BR, Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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