INCIDENCE OF CARDIOVASCULAR EVENTS IN A CARDIOVASCULAR HEALTH PROMOTION PROGRAM OF A DEVELOPING COUNTRY “DE TODO CORAZON”. A COHORT STUDY

OBJECTIVES: "De Todo Corazon" (DTC) is a risk management program with the aim of reducing complications and improving the quality of life of patients with cardiovascular risks. The aim of this study was to describe the evolution of incidence of cardiovascular events in patients under program care. METHODS: We started follow-up of a cohort of 64.668 patients with hypertension and/or diabetes mellitus between June 2014 and December 2015. The cumulative incidence of cardiovascular events was considered to be admissions due to myocardial infarction, acute cardiac insufficiency or stroke per semester. The hospital read-mission for cardiovascular events was considered to be first readmissions due to myocardial infarction, acute cardiac insufficiency or stroke after 30 days of the first admission for same event. The cumulative incidence and hospital read-mission for cardiovascular events were reported in percentages and incidence density was reported by 100 person years follow-up. RESULTS: Between the second half of 2014, the first semester and the second half of 2015, the cumulative incidence for stroke was 8.0%, 6.7% and 5.1%, respectively. The cumulative incidence for myocardial infarction was 7.3%, 7.2% and 6.1%, respectively; and for acute heart failure was 5.3%, 5.2% and 3.7%, respectively. The risk of hospital readmission for stroke was 77.4%, 69.8% and 59.6%, respectively. The risk of hospital readmission for myocardial infarction was 85.3%, 80.3% and 79.2%, respectively; and for acute heart failure was 88.6%, 80.8% and 74.2%, respectively. The incidence density (events 100 person years for stroke was 15.9,13.4 and 10.3 events per 100 person years, respectively. The incidence density for myocardial infarction was 14.5,14.3 and 12.1 events per 100 person years, respectively. CONCLUSIONS: The incidence and hospitalization for cardiovascular events in patients under program care showed a downward trend between June 2014 and December 2015. The hospital readmission for cardiovascular events is high.