RESUMEN INTRODUCCION: en Colombia se implementa la guia 412 para hipertension arterial y diabetes mellitus tipo 2 para tratar y evitar complicaciones de la enfermedad cardiovascular, la cual representa una causa importante de morbimortalidad en poblacion adulta. MATERIALES Y METODOS: se realizo un estudio descriptivo transversal con los pacientes asistentes a control de riesgo cardiovascular en una institucion de primer nivel de atencion, para dar una vision real de la forma como se aplica la guia. Se establecio un grupo de 306 pacientes asistentes a control mensual por diagnostico de enfermedades determinantes de riesgo cardiovascular, con base en la guia implementada y literatura actualizada del tema se establecieron las variables y las metas de control, se reviso la historia clinica de cada paciente extrayendo datos de interes para posterior analisis. RESULTADOS: la hipertension arterial se presento en el 89% de los pacientes y la diabetes mellitus en el 10%, los factores de riesgo asociados como historia familiar de enfermedad cardiovascular, alcoholismo, tabaquismo, sedentarismo, sobrepeso, no se interrogan adecuadamente. El 53,9% de los hipertensos se encontraron controlados y el 9,1% tienen control optimo de hipertension arterial y factores metabolicos; la asistencia a control nunca alcanzo el 70%. DISCUSION Y CONCLUSIONES: el grupo de control de riesgo cardiovascular se ha incrementado en numero de pacientes posiblemente paralelo a la implementacion del nuevo sistema de seguridad social en salud; aunque la asistencia y la metodologia de los controles mensuales tienen muchas limitaciones, muestra logros que determinan segun la literatura disminucion de morbimortalidad de la comunidad. Palabras clave: Riesgo cardiovascular. Hipertension arterial. Diabetes Mellitus. ABSTRACT INTRODUCTION: in Colombia the guide 412 for hypertension and type 2 diabetes is followed through to treat and to avoid complications of the cardiovascular disease; which represents an important cause of morbility and mortality in adults. MATERIALS AND METHODS: a cross-sectional descriptive study was done on cardiovascular risk patients that attended to control in an institution of first level of attention to give a real vision of the form as the guide is applied. A group of 306 attending patients to monthly control by diagnosis of determining diseases of cardiovascular risk was set. With base in the implemented guide and up-to-date literature of the subject the variables and the control goals were set .The clinical history of each patient was reviewed and data of interest was extracting for later analysis. RESULTS: the hypertension appeared in 89% of the patients and the type 2 diabetes in 10%, the associated factors of risk like family history of cardiovascular disease, alcoholism, smoking, physical inactivity, overweight, were not addressed suitably; The 53,9% of the hypertensive ones were controlled and the 9,1% have optimum control of hypertension and metabolic factors; The attendance to monthly control never reached 70%. DISCUSSION AND CONCLUSIONS: the cardiovascular risk group has been increased in possibly parallel number of patients to the implementation of the new social security system in health; although the attendance and the methodology of the monthly controls have many limitations, this has showed positive results that determine according to Literature diminution of mortality of the community. Key words : Cardiovascular risk. Hypertension. Type 2 diabetes.