[The approach to the etiological diagnosis of hyperlipemias in primary care].
OBJECTIVE
To perform etiological diagnosis of hyperlipidemia (HL) brought to light in family medical (general practice) consultations.


METHODS
Retrospective descriptive study. SITE. A basic health zone (ZBS).


METHODS
231 patients diagnosed as having HL by their doctors.


RESULTS
Lipidic levels (average figures): total cholesterol (CT): 280; C-LDL: 201; C-HDL: 49 and triglycerides (TGL): 198. Distribution by phenotypes: IIa: 178 patients, IIb: 42, IV:5, with 6 doubtful cases. Distribution according to etiological diagnosis: 79% primary HL (83% polygenic and 17% family) 15% secondary HL, with 6% having both types in association.


CONCLUSIONS
Diagnosis of HL in the visits to the family doctor reveals probability-predictable patterns based, above all, on the the overall assessment made by the doctor of his/her patient. The survey and the family study are very limited in our circles. The predominating type of HL is primary polygenic where prescribing of special diets will be sufficient in most cases.
Ruiz Moral
R
R
Unidad Docente de Medicina Familiar y Comunitaria de Córdoba, Centro de Salud de Occidente.
Muñoz Alamo
M
M
Fernández García
J A
JA
Espejo Espejo
J
J
Jiménez Luque
J M
JM
Martínez de la Iglesia
J
J
D000367:Age Factors; D006801:Humans; D006949:Hyperlipidemias / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology
Aproximación al diagnóstico etiológico de las hiperlipemias en atención primaria.