RESUMEN
OBJECTIVES: GALIPEMIAS is a study designed to establish the prevalence of familial dyslipidemia in the general population of Galicia. The objective of the present study was to assess the prevalence of atherogenic dyslipidemia (AD), its relationship with other cardiovascular risk (CVR) factors, and the degree of lipid control. METHODS: Cross-sectional study carried out in the general population over 18 years of age residing in Galicia and with a health card from the Galician Health Service (N=1,000). Selection of the sample by means of random sampling by conglomerates. The AD prevalence adjusted for age and sex and the related variables were analyzed. RESULTS: The prevalence of AD adjusted for age and sex was 6.6% (95% CI: 5.0-8.3%). Arterial hypertension, altered basal glycemia, type 2 diabetes mellitus and cardiovascular disease were more frequent in subjects with AD than in the rest of the population. 47.5% of the subjects with AD had a high or very high CVR. Lipid-lowering drugs were received by 38.9% (30.5% statins) of the participants with AD (46.1% of those with high and 71.4% of those with very high CVR). 25.4% of the subjects with AD had target LDL-c levels, all of them with low or moderate CVR. CONCLUSIONS: The prevalence of AD in the general adult population of Galicia is not negligible, and it was related to several CVR factors and cardiovascular disease. Despite this, this lipid alteration was underdiagnosed and undertreated.
Asunto(s)
Aterosclerosis , Enfermedades Cardiovasculares , Diabetes Mellitus Tipo 2 , Dislipidemias , Adulto , Humanos , Adolescente , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/etiología , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Factores de Riesgo , Prevalencia , Estudios Transversales , HDL-Colesterol , Aterosclerosis/diagnóstico , Dislipidemias/tratamiento farmacológicoRESUMEN
Se presenta nuestra experiencia en el tratamiento de más de 50 pacientes tratados según la metódica soviética de osteosíntesis extrafocal con utilización de los aparatos diseñados por los profesores Ilizárov y Volkow a partir de su introducción en nuestro Servicio, desde mayo de 1984 hasta diciembre de 1986. Esta metódica se utilizó en fracturas recientes, fracturas no recientes, retardados de consolidación, pseudoartrosis asépticas y sépticas, ya sea como compresores, distractores, en ligamentotaxis y se exponen finalmente nuestros resultados clínicos y radiográficos, los cuales son alentadores