Evaluation of Cardiovascular Risk in Seven Cities in Latin America: The Main Conclusions

Palmira Pramparo, Carlos Boissonnet, Herman Schargrodsky

Abstract


To assess the cardiovascular risk of the Latin American

population, we conducted a homogeneous population-based

sampling study in seven cities of the region following controlled

and standardized methods, laboratory tests and physical

examination and thus obtain reliable epidemiological data.

The CARMELA study (Cardiovascular Risk Factor Multiple

Evaluation in Latin America) evaluated 11550 subjects from

the general population. The prevalence of hypertension mirrored

the world average in 3 cities but was lower in the rest.

Hypercholesterolemia was highly prevalent even in countries

of different socioeconomic levels. The prevalence of diabetes

ranged between 7% and 9% in Mexico City, Bogotá and Santiago

de Chile. Tobacco use was high in both sexes in Santiago and

Buenos Aires. Abdominal obesity and the metabolic syndrome

were more prevalent in women of low resources. Intima-media

thickness and carotid plaque prevalence varied widely. The

epidemiological data obtained in the CARMELA study complete

the outlook of the cardiovascular risk in our region and

indicate the need of rationale urban health policies.


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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020 www.sac.org.ar revista@sac.org.ar