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Rodilla E, Adell M, Baixauli V, Bellver O, Castillo L, Centelles S, Hernández R, Martínez S, Perseguer Z, Prats R, Ruiz D, Salar L, Climent M. Value of estimating pulse wave velocity compared to SCORE in cardiovascular risk stratification in community pharmacies. Med Clin (Barc) 2023; 161:463-469. [PMID: 37735046 DOI: 10.1016/j.medcli.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 06/02/2023] [Accepted: 06/04/2023] [Indexed: 09/23/2023]
Abstract
OBJECTIVES Arterial stiffness is considered to be an intermediate marker with independent prognostic value. The objective of this study is to assess whether the estimation of arterial stiffness can improve CV risk stratification compared to SCORE in patients at community pharmacies. METHODS Observational prospective epidemiological study in which consecutive individuals entering a participating Community Pharmacy are offered a voluntary measurement of blood pressure and estimation of pulse wave velocity by oscillometry (AGEDIO, IEM®) to stratify their CV risk according to SCORE compared to the use of arterial stiffness. RESULTS After nine months of recruitment, data from 923 patients (570 women, 353 men) were collected. 16/122 (13.1%) patients under 40 years and 72/364 (19.8%) over 65 years of age presented pathological stiffness and could be classified as high-risk, even though being out of the age-range of SCORE. Of the 437 (47.3%) patients who were susceptible to calculating SCORE, 42/437 patients (9.6%) presented pathological arterial stiffness. Cholesterol values were available in 281 patients (64.3%). Among them, according to SCORE, only 6 (2.1%) fell into the high-risk category. CONCLUSIONS More than half of the subjects who randomly enter a community pharmacy had ages that make it impossible to calculate the CV risk by SCORE. Among them, arterial damage was detected in 18.1%. Of the other half, 9.6% presented arterial damage and, therefore, high CV risk, when SCORE only detected it in 2.1%. Therefore, estimating arterial stiffness in community pharmacies markedly improves detection of high CV risk compared to SCORE.
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Affiliation(s)
- Enrique Rodilla
- Internal Medicine Department, Hypertension and Vascular Risk Unit, Hospital Universitario de Sagunto, Sagunto, Spain; Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
| | - Manuel Adell
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Vicente Baixauli
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Otón Bellver
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Lidón Castillo
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Santiago Centelles
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Rosario Hernández
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Sara Martínez
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Zeneida Perseguer
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Rosa Prats
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Desiré Ruiz
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Luis Salar
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
| | - Maite Climent
- Sociedad Española de Farmacia Clínica, Familiar y Comunitaria, Comunidad Valenciana, SEFAC-CV, Spain
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Rodilla Sala E, Colomer V, Perseguer Z, Jordá A, Jordá R, Prats R, García M, Vidal L, Sanchis M, Córcoles M, Mud F, Bellver O, Adell M, Ferrer F, Hernández M, Llopis T, Rodrigo M, Baixauli V, Climent M, Moreno L. DIFFERENCES IN AORTIC AUGMENTATION PRESSURE BETWEEN NORMOTENSIVE AND HYPERTENSIVE SUBJECTS MEASURED IN COMMUNITY PHARMACIES IN SPAIN. J Hypertens 2019. [DOI: 10.1097/01.hjh.0000572696.06657.f1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rodilla E, Prats R, Bellver O, Reig J, Cunha P, Climent MT. Assessment of Arterial Stiffness by Brachial Oscillometry in Community Pharmacies for Managing Hypertension (COPHARTEN)☆. Artery Res 2019. [DOI: 10.2991/artres.k.191124.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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