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. 2009 Apr;29(2):52-5.
doi: 10.4103/0973-3930.53120.

Prevalence of the metabolic syndrome in acute myocardial infarction and its impact on hospital outcomes

S Pandey  1 , N Baral, S Majhi, P Acharya, P Karki, S Shrestha, B K L Das, L Chandra
Affiliations

Prevalence of the metabolic syndrome in acute myocardial infarction and its impact on hospital outcomes

S Pandey et al. Int J Diabetes Dev Ctries. 2009 Apr.

Abstract

Aims: To ascertain the prevalence of the metabolic syndrome in patients with acute myocardial infarction; to study the impact of the metabolic syndrome on hospital outcomes; and to find out the association of each component of the metabolic syndrome with acute myocardial infarction (AMI).

Setting: Coronary care unit, Department of Medicine, B P Koirala Institute of Health Sciences, Dharan, Nepal.

Design: Hospital-based cross-sectional study.

Materials and methods: A total of 84 unselected consecutive patients hospitalized with AMI (diagnosed on the basis of WHO criteria) were categorized according to NCEP ATP III criteria.

Statistical analysis: Data was analyzed by using the Student's t test and Chi-square test.

Results: Among the 84 AMI patients, 22 (26.19%) fulfilled the criteria for metabolic syndrome. Patients with the metabolic syndrome were older (86% were >50 years of age) and females (27%) were more affected than males (25%). In-hospital case fatality was higher in patients having the metabolic syndrome (5/22) than in those without the syndrome (3/62). Among the five components of the metabolic syndrome, the triglyceride levels had the highest positive predictive value (62%) in AMI; this was followed by fasting blood glucose levels (55%).

Conclusion: The prevalence of the metabolic syndrome is 26.19%; it is associated with high mortality; among its components, the triglyceride level has the highest positive predictive value in AMI patients.

Keywords: Metabolic syndrome; acute myocardial infarction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Prevalence of each component of the metabolic syndrome in AMI cases having metabolic syndrome (MS) and nonmetabolic syndrome (NMS). WC: increased waist circumference, BP: high blood pressure, Tg: elevated triglyceride levels, HDL-C: low high density lipoprotein cholesterol levels, FBG: elevated fasting blood glucose
See this image and copyright information in PMC

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