MARCADORES BIOQUÍMICOS NAS DISLIPIDEMIAS E NO RISCO CARDIOVASCULAR: ANÁLISE COMPARATIVA À FÓRMULA DE MARTIN

Abstract

This study aims to comparatively evaluate the profiles of biochemical markers that best characterize and / or associate with dyslipidemias, in the diagnostic modality by increasing the stratification of cardiovascular risk or its monitoring for better conduction. For this, we evaluated the lipid profile composed of total cholesterol, triglycerides, high density lipoprotein cholesterol and low density lipoprotein; and the cholesterol in non-high density lipoprotein content, correlating them with the markers: lipoprotein A, apoprotein B and low density lipoprotein cholesterol; using the homogeneous method. A total of 1012 patients were selected, segmented by age, sex and condition of use or inhibition of hepatic cholesterol production. In order to increase the power of this group analysis the exams were separated into subgroups, considering the obtained values and methodologies used; correlating the results. The research was carried out with qualitative and quantitative variables, using nonparametric statistical tests for their comprehension, distribution and grouped analysis. Our results showed evidence that cardiovascular risk is not only associated with the low density lipoprotein cholesterol obtained by Martin's formula, but other variables, in association with the following comparative analyzes: that the use of apoprotein B expands the diagnosis of inclusion of dyslipidemias in 43 % using genderindependent baseline values and with a new monitoring range of 84 mg/dL. That the low density lipoprotein cholesterol obtained by the homogeneous method presents an analytical disagreement at + 3.5% and having a 48% higher diagnostic stratification. In addition, lipoprotein a levels were higher than 30 mg/dL in 26% of the patients, but with a specific prevalence and segmentation in women between the ages of 51 and 60 years, with an apparent disagreement of more than 10 mg/dL when of the comparison of results between the Martin formula and the homogeneous method.