Cardiovascular Risk Evaluation In Office Workers

Introduction
Cardiovascular diseases (CD) are the most common cause of morbi-mortality among world population. Up to 15-20% of active population suffers for a cardiac disturbance during their productive life.
In our society and our workers the problem is bigger. Mexico is the first country in rate of obesity, and glucose disorders and that is the reason that supports the idea of an early detection

Methods
Early detection based on International and valid scales like Framingham and ATP III expert pannel. With an open screen in the work centres checking specificly sommatometry, vitals and laboratory parameters in 780 workers, that would help to identify this pandemic problema in early stages as a “quick look” for cardiovascular risk at 10 years.

Results
55% were men aged 25-60 years with 20% of greater than 50 years.
45% corresponded to females with 10% of more than 50 years.
45% have some form of dyslipidemia predominantly in hypercholesterolemia.
35% presents with metabolic syndrome established.
85% had some kind of overweight or obese.
28% went to high glucose levels <126mg/dl
40% were detected by ECG changes that were required in some other auxiliary diagnosis.
20% showed positive stress test, why catheterization study required schedule.
67 cases were treated in emergency room with acute coronary syndromes, with clinical CHF, enzymatic and electrocardiographic alterations.
There were two cases of sudden death a 40 year old man and a woman of 35 years.
Three cases required surgical intervention for filing trivascular injury.
140 cardiac catheterizations were performed in which 60% required coronary angioplasty.
5 were placed cardioverter devices.

Discussion
In our study population we concluded that this evaluation is useful because we found 36% of the screened subjects with the need of intervention in lifestile and some farmacologic strategies to lower the risk.