The Epidemiology of Cardiovascular Disease in Primary Care. The Zona Franca Cohort Study in Barcelona, Spain

• Published in: Revista española de cardiología (English ed.) 2010, Vol.63 (11), p.1261-1269
• Main Authors: Baena-Díez, José M., Vidal-Solsona, Marc, Byram, Alice O., González-Casafont, Isabel, Ledesma-Ulloa, Gabriela, Martí-Sans, Núria
• Format: Article
• Language: English
• Subjects: Cardiovascular disease; Cerebrovascular disease; Enfermedad arterial periférica; Enfermedades cardiovasculares; Enfermedades cerebrovasculares; Epidemiology; Epidemiología; Heart failure; Insuficiencia cardiaca; Isquemia miocárdica; Myocardial ischemia; Peripheral arterial disease
• ISSN: 1885-5857; 1885-5857
• DOI: 10.1016/S1885-5857(10)70251-6

Knowledge about the incidence of cardiovascular disease in Spain is limited, particularly about emergent conditions such as peripheral arterial disease and heart failure. The objective of this study was to determine the incidence of these conditions in a primary care setting. A prospective population-based cohort study was carried out in 2 health centers in Barcelona, Spain. It included 931 randomly selected individuals, aged 35 to 84 years, without cardiovascular disease who were followed for 10 years. We assessed the incidence of ischemic heart disease (ie, myocardial infarction and angina), cerebrovascular disease (ie, stroke and transient ischemic attack), peripheral arterial disease of the lower extremities, and heart failure. The most frequently occurring condition was ischemic heart disease (cumulative incidence, 6.1%), followed by cerebrovascular disease (4.3%), heart failure (3.0%), and peripheral arterial disease (1.9%). These conditions were more frequent in patients aged >65 years (cumulative incidence, 9.6%, 8.9%, 4.6% and 3.1%, respectively). The most frequent comorbid conditions were ischemic heart disease and cerebrovascular disease. The incidence of acute myocardial infarction was greater in men ( P65 years. Ischemic heart disease remained the most common, with heart failure being a notable emergent condition. La incidencia de las enfermedades cardiovasculares no se conoce suficientemente en España, sobre todo en enfermedades emergentes como la arteriopatía periférica y la insuficiencia cardiaca. El objetivo es estudiar la incidencia de estas enfermedades en atención primaria. Estudio prospectivo de cohortes de base poblacional, realizado en dos centros de salud de Barcelona (España). Se incluyó a 931 sujetos entre 35 y 84 años, sin enfermedades cardiovasculares, seleccionados aleatoriamente y seguidos 10 años. Se estudió la incidencia de cardiopatía isquémica (infarto agudo de miocardio y angina), enfermedad cer