Cardiovascular Health in Older Adults Hospitalized in a Geriatric Service
Keywords:
cardiovascular risk; cardiovascular disease; older adult.Abstract
Introduction: Population aging has become a palpable reality, associated with an increase in the prevalence of older adults with cardiovascular diseases. Problems related to cardiovascular health have a direct impact on quality of life. The evaluation of cardiovascular health is a challenge in clinical practice. Global cardiovascular risk and the ideal cardiovascular health index allow for the identification of vulnerable or higher-risk groups.
Objective: To evaluate cardiovascular health in hospitalized older adults.
Methods: Observational, descriptive, cross-sectional study of 127 hospitalized older adults. Clinical and metabolic variables were studied, as well as the state of cardiovascular health, through the application of the ideal cardiovascular health index and the stratification of global cardiovascular risk.
Results: Women over 80 years of age predominated; 91,3 % were hypertensive, 46,7 % were overweight/obese, and 70,1 % had low physical activity. An intermediate ideal cardiovascular health index predominated (56,7 %), and 33,9 % presented a high cardiovascular risk.
Conclusions: The evaluation of cardiovascular health in hospitalized older adults constitutes a valuable clinical tool, capable of identifying the state of cardiovascular health in a timely manner. The correlation between better scores and a lower risk of future events supports its predictive utility and use in clinical follow-up.
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1. Di Fabio JL, Gofin R, Gofin J. Análisis del sistema de salud cubano y del modelo atención primaria orientada a la comunidad. Rev Cubana Salud Pública. 2020 [acceso 09/10/2024];46(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S086434662020000200004&lng=es
2. Hierrezuelo Rojas N, Hernández Magdariaga A, González Guerrero L, de la Cruz LLaugert J, Limia Domínguez AJ. Envejecimiento y prevención de las enfermedades cardiovasculares. Una mirada desde la ciencia de medicina familiar. RM. 2025 [acceso 25/05/2025];29:e2926. Disponible en: https://revmultimed.sld.cu/index.php/mtm/article/view/2926
3. Grau M, Marrugat J. Funciones de riesgo en la prevención primaria de las enfermedades cardiovasculares. Revista española de cardiología. 2008 [acceso 25/05/2025];61(4),404-16. Disponible en: https://www.revespcardiol.org/es-funciones-riesgo-prevencion-primaria-enfermedades-articulo-13117732
4. Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023 [acceso 09/10/2024];41(12):1874-2071. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37345492/
5. Gao X, Ma X, Lin P, Wang Y, Zhao Z, Zhang R, et al. Predictive Value of Cardiovascular Health Score for Health Outcomes in Patients with PCI: Comparison between Life's Simple 7 and Life's Essential 8. Int J Environ Res Public Health. 2023 [acceso 25/04/2024];20(4):3084. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36833779/
6. Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, De la Noval García R, et al. Hipertensión arterial. Guía para el diagnóstico, evaluación y tratamiento. 2018. [acceso 25/04/2024]. Disponible en: http://www.bvscuba.sld.cu/libro/hipertension-arterial-guia-para-el-diagnostico-evaluaciony-tratamiento/
7. Hoonte T, Spronk M, Sun Q, Wu K, Fan S, Wang Z, et al. Ideal cardiovascular health and cardiovascular related events: a systematic review and meta-analysis. European Journal of preventive cardiology. 2023 [acceso 28/12/2025]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38149986/
8. Hernández Martínez AM. Lifestyle, cardiovascular risk factors, and mortality in Spain: the role of the American Heart Association algorithms. 2023 [acceso 31/10/2024]. Disponible en: http://hdl.handle.net/10835/14673
9. Torres Cárdenas R, Martínez Frómeta M, Santiago López W, Pérez Milián JM, Torres Toledo D, Ramírez Cabañín O. Concordancia entre el índice de salud cardiovascular ideal y el índice Fuster-BEWAT. 2020 [acceso 28/12/2024];12(3). Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/504
10. Herrera-Horta GA, Gutiérrez-García Z, Herrera-Miranda GL. Caracterización de las enfermedades no transmisibles en ancianos de Pinar del Río. Gac Méd Estud. 25 de octubre de 2024 [acceso 23/05/2025];5(3):e420. Disponible en: https://revgacetaestudiantil.sld.cu/index.php/gme/article/view/420
11. Paz Soldan Patino CP, Saavedra Rodríguez D, Ureña Cordero S, Antezana Navia L, Villanueva de la Rosa C, Ortega Martínez RA. Registro multicéntrico de hipertensión arterial, factores de riesgo cardiovascular asociados y adherencia terapéutica en Cochabamba-Bolivia. Rev Inv Inf Sal. 2023 [acceso 29/05/2025];18(45):40-51. Disponible en: https://revistas.univalle.edu/index.php/salud/article/view/1040
12. Paramio Rodríguez A, Aguilera García LL, Carrazana Garcés E, Hernández Navas M. Riesgo cardiovascular global en tres casas de abuelos del municipio Boyeros. Rev Cubana Med Gen Integr 2021 [acceso 29/05/2025];37(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252021000400001&lng=es
13. Abizanda Soler P, Rodríguez Mañas L. Tratado de Medicina Geriátrica: Fundamentos de la Atención Sanitaria a Los Mayores. 2020 [acceso 29/05/2025]. Disponible en:https://books.google.es/books?hl=es&lr=&id=rszpDwAAQBAJ&oi=fnd&pg=PP1&dq=Tratado+de+Medicina+Geri%C3%A1trica:+Fundamentos+de+la+Atenci%C3%B3n+Sanitaria+a+Los+Mayores.+&ots=L_MfklqSMo&sig=CyF7164UCN6hr1XoJdVNzEcz4Qw
14. Revueltas-Agüero M, Molina-Esquivel E, Suárez-Medina R, Bonet-Gorbea M, Varona-Pérez P, Benítez-Martínez M. La hipertensión arterial en Cuba según la Encuesta Nacional de Salud 2018-2019. Archivo Médico Camagüey. 2022. [acceso 02/04/2025];26(0):e9239-383. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/9239
15. Espino JD. Life’s Simple 7 y eventos cardiovasculares en la cohorte PREDIMED. Cardiología hoy. 2020 [acceso 04/06/2025]:805. Disponible en: https://secardiologia.es/images/publicaciones/libros/cardiologia-hoy-2020.pdf#page=805
16. Cedeño Mero AV, Cruzate Velez MF, Hidalgo Loor KW, Bravo Saquicela HL. Prevalencia y riesgo cardiovascular: Actualización de las guías internacionales. RECIMUNDO. 2023 [acceso 04/10/2025];7(1):529-45. Disponible en: https://recimundo.com/index.php/es/article/view/1981
17. Armas-Padrón AM, Sicilia-Sosvilla M, Ruiz-Esteban P, Torres A, Hernández D. Cardiovascular health and target end-organ damage and comorbidities in hypertensive patients from a Spanish primary care urban population. Nefrología. 2024 [acceso 03/10/2025];44(1):77-89. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37150674/
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