Antiagregation and anticoagulation, relationship with upper gastrointestinal bleeding.

Introduction: the high prevalence of cardiovascular diseases in the modern society brings a high prescription of platelet antiaggregation and anticoagulant medications. These treatments have been related to an increased incidence of upper gastrointestinal bleedings (UGB). Our aim was to estimate the fraction of UGB´s presented to our hospital that was related to this kind of treatments and describe their clinical features in our environment.

Clinical inertia in diagnosis and treatment of hypertension in primary care: quantification and associated factors.

Objectives: The objective of the present study was to quantify both diagnostic and therapeutic inertia in hypertension and to identify patient-associated variables.

Patients And Methods: Cross-sectional, multicenter study of 35 424 subjects carried out in 428 health centers and/or primary care clinics in the Valencian Community, Spain, in a preventive activity conducted during 2003 and 2004. Diagnostic inertia was identified when a patient without known hypertension had high blood pressure (BP) but was labeled "normal" by the medical staff, and therapeutic inertia when treatment was not modified for a hypertensive patient on the presence of high BP values.

[Agreement between REGICOR and SCORE scales in identifying high cardiovascular risk in the Spanish population].

Introduction: The aims of this study were to evaluate the consistency between the SCORE (Systematic Coronary Risk Evaluation) and REGICOR (Registre Gironí del cor) scales in identifying high cardiovascular risk and to describe the characteristics of those individuals for whom scale results were discrepant.

Methods: This cross-sectional study involved 8942 subjects aged 40-65 years who had an indication for a complete lipid profile. The agreement between SCORE (for low-risk countries) and Framingham-REGICOR (with a high risk threshold of 10%) scales in classifying patients as high risk was evaluated using the kappa statistic.

[Association between breast arterial calcifications and degree of control and severity of diabetes].

Background And Objective: Our goal was to analyze the association between the presence of arterial calcifications detected on mammography and the degree of control and severity of diabetes.

Patients And Method: We included all menopausal women with diabetes aged between 45 and 68 years from two health districts who participated in the breast cancer screening campaign of the region (n = 230). We reviewed their mammographies to evaluate the presence of arterial calcifications and thus associate these findings with factors determining the control and severity of diabetes (glycemia, glycosylated hemoglobin, micro- and macrovascular chronic complications) as obtained from the patients' medical records.