Cardiovascular risk in patients with bipolar disorder
Journal of Affective Disorders, 05/15/0
Garcia-Portilla MP et al. - Cardiovascular risk is high in patients with bipolar disorder. It is associated with age, body mass index and metabolic syndrome. Psychiatrists should be aware of this issue and carefully monitor these patients for cardiovascular risk factors, including cigarette smoking, as part of the standard of care when treating them.
Methods- Naturalistic, cross-sectional, multicenter study conducted in Spain.
- Patients were evaluated for cardiovascular risk using the Framinghan function (CHD) and the Systematic COronary Risk Evaluation (SCORE) function (CMR).
- The mean age was 46.6 years and 49% were male. t
- Forty-six percent were in remission.
- . Ten-year CHD risk was 7.6% (males 10.2% versus females 4.7%, p < 0.001) and 10-year CMR was 1.8% (males 2.2% versus females 1.3%, p 0.161).
- Fifty-one percent smoked and 34% was obese.
- Metabolic syndrome was present in 22.4% of the sample (35.6% according to AHA and NHLBI criteria).
- Cardiovascular risk significantly increases with age, body mass index and presence of metabolic syndrome
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