Distribución del riesgo cardiovascular en la Argentina en 2018

Background: Cardiovascular diseases are the main cause of disability and death globally. Total cardiovascular risk (CR) is the probabilityof having a cardiovascular event in a defined period and is determined by the combined effect of risk factors.Objectives: The aim of this study was to estimate CR and describe its distribution in Argentina in 2018.Methods: Cardiovascular risk was analyzed in 11,450 individuals over 30 years of age from the 4th National Risk Factor Survey(NRFS). The Framingham risk equations used to estimate and calibrate global CR classified the individuals into the following threegroups: optimum CR (20%). Bayesian prevalence and credibility intervals (BCI)were estimated under the non-informative beta prior distribution.Results: Nationally, 60.6% of the individuals presented moderate/high CR. Moderate CR by region was distributed homogeneously.When analyzing extreme CRs, the metropolitan (47.6%) and Pampean (28.6%) regions presented the greatest incidence of high CR.The highest prevalence of optimum CR was found in the Patagonian region, followed by the Northwest, Northeast and Cuyo, allabove 40%. The analysis by province showed that the greatest incidence of high CR was found in Buenos Aires (49.9%) and CABA(45.7%). At all levels, the prevalence of moderate/high CR is much higher in men, with the exception of the metropolitan region.Conclusions: Geographical differences position the metropolitan region as the one with maximum CR due to the great incidence ofhigh and moderate CR. Prevalence of high CR in men is almost 4 times greater than that registered in women. Introducción: Las enfermedades cardiovasculares son la principal causa de discapacidad y muerte a nivel global. El riesgo cardiovascular (RC) total es la probabilidad de tener un evento cardiovascular en un periodo definido y está determinado por el efecto combinado de los factores de riesgo. Objetivos: estimar el RC y describir su distribución en Argentina en el año 2018. Materiales y métodos: Se analizaron 11450 individuos mayores de 30 años provenientes de la 4° ENFR. Se realizó la estimación y calibración del RC global bajo las ecuaciones del estudio Framingham y se clasificó a cada individuo en: RC óptimo (< 5,9%), RC moderado (6 a 19,9%), y RC alto (> 20%). Se estimaron prevalencias e intervalos de credibilidad Bayesianos (ICB) bajo distribución Beta Prior no Informativa. Resultados: A nivel país, el 60,6% de los individuos p