Avaliação dos fatores de risco cardiovascular em pacientes transplantados renais

Abstract

Chronic kidney disease belongs to chronic non-communicable diseases. It is understood as a clinical syndrome characterized by the slow, gradual and progressive reduction of the renal excretory, endocrine and metabolic functions. When the glomerular filtration rate becomes lower than 15 mL min. -1 1,73 m -2, the end-stage kidney disease occurs, and the renal transplant became a form of treatment. Cardiovascular disease accounts for a large amount of the mortality and comorbidity present in renal transplant patients. The aim of this study was to evaluate cardiovascular risk factors in patients with different ages of renal transplantation. The study was conducted in a clinic for the renal treatment located at the West of Santa Catarina state, evaluating patients with kidney transplantation, of both sexes, that carried out clinical follow-up in the referred clinic. Patients over 75 years of age, who died, who lost the kidney graft, or discontinued follow-up were not evaluated. Patients with more than five years after renal transplantation presented a high risk of develop cardiovascular disease. The parameters of LDL-C, HDL-C and TG in the group with more than five years of renal transplantation presented high and worrisome chance of the develop dyslipidemia. Patients with more than five years of renal transplantation have elevated risk for developing cardiovascular disease in the next decade of life. The Framingham risk score generates important and necessary information to elaborate manners of decrease the risk of developing a cardiovascular disease, and consequently, increase the quality of life and survival of patients after renal transplantation.