Cardiovascular risk factors in neuropsychiatric patients with arterial hypertension in an outpatient setting of a specialized hospital
Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: Psychiatric disorders constitute a group of diseases with high morbidity and mortality that affect the quality of life.Cardiovascular risk is higher in these conditions.Objective: To associate psychiatric disorders with cardiovascular risk factors in individuals with hypertension being treated as outpatients at a mental health hospital.Method: An observational study conducted in 2019 among outpatients with hypertension and psychiatric disorders at a specialized hospital in Quito, Ecuador.Measures of central tendency and association tests with a 95% confidence interval (CI) were used.Results: The average age was 56.48 (± 13.51) years, with a predominance of women.There was a tendency towards obesity (BMI 31.60 ± 5.51), hypertriglyceridemia (183.96± 97.63 mg/dl), and decreased high-density lipoprotein cholesterol (HDL-C) (38.4 ± 18.53 mg/dl).Psychiatric diagnoses included mood disorders (44.8%), organic disorders (26.7%), schizophrenia (15.2%), and bipolar disorder (13.3%).Six percent of the patients had high cardiovascular risk, although it was not significant; antipsychotics had no statistical impact.Conclusions: Comprehensive evaluation and treatment of patients with psychiatric disorders are imperative to reduce cardiovascular risk, even when they cannot be identified using traditional risk scales.Therefore, other approaches considering patient-specific characteristics, such as medication use and additional risk factors, are recommended.
Institution: Pontificia Universidad Católica del Ecuador
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4407246138