Comparison of Risk Stratification Tools for Atherosclerotic Cardiovascular Disease and Cardiovascular–Kidney–Metabolic Syndrome in Primary Care

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-09-15T00:30:13Z
Fecha de publicación2025-01-01
ResumenBackground/Objectives: Cardiovascular disease is the leading cause of death in Mexico; this is due to the high prevalence of chronic non-communicable diseases (NCDs), including obesity, type 2 diabetes mellitus (T2DM), systemic arterial hypertension (SAH), cardiovascular disease, chronic kidney disease (CKD), and dyslipidemia. Primary care physicians require a classification tool that enables them to gain a broader understanding of their patients’ risks, thereby allowing them to make more informed clinical decisions. This study compared risk stratification for atherosclerotic cardiovascular disease (ASCVD) and Cardiovascular–Kidney–Metabolic (CKM) syndrome in a primary care setting in Mexico. Methods: An observational, descriptive, cross-sectional study analyzed 500 patients with T2DM, SAH, dyslipidemia, and/or CKD. Two ordinal logistic regression models were developed using a Chi-square test, Kruskal–Wallis test, and tetrachoric, polychoric, polyserial, and Pearson correlations. Results: Associations were found between ASCVD risk and factors like sex, age, and T2DM; for CKM syndrome, the associations were with age, T2DM, and dyslipidemia. Interestingly, 22% of advanced CKM patients had a low ASCVD risk. Alcohol consumption showed a strong positive relationship (42%) with CKM stages, while there was a negative relationship (33%) with the glomerular filtration rate. Conclusions: The ASCVD risk classification effectively identifies cardiac conditions, but the CKM syndrome score provides a broader assessment of comorbidities at earlier stages. Key factors like age, hypertension, T2DM, and smoking are crucial for cardiovascular risk but less so for CKM syndrome, highlighting the need for a broader stratification of risk.es_ES
Doihttps://doi.org/10.3390/medsci13040240es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/2162
Idiomaeses_ES
EditorialMDPI AGes_ES
RelaciónMedical Scienceses_ES
URL relacionadohttps://doi.org/10.3390/medsci13040240es_ES
DerechosAcceso abierto (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_abf2es_ES
FuenteMedical Sciences
TítuloComparison of Risk Stratification Tools for Atherosclerotic Cardiovascular Disease and Cardiovascular–Kidney–Metabolic Syndrome in Primary Carees_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorMartínez, Victor Hugo Vázquez
AutorBautista, Humberto Martínez
AutorVillegas, Patricia Muñoz
AutorMorales, Jesús III Loera
AutorSalazar, María del Rosario Padilla
AutorMartínez, Victor Hugo Vázquezes_ES
AutorBautista, Humberto Martínezes_ES
AutorVillegas, Patricia Muñozes_ES
AutorMorales, Jesús III Loeraes_ES
AutorSalazar, María del Rosario Padillaes_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número4es_ES
Rango de páginas240es_ES
URL relacionadahttps://doi.org/10.3390/medsci13040240
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen13es_ES

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