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Metabolic syndrome influencing infarct size and heart failure in patients with acute coronary syndrome - does gender matter?
MedLine Citation:
PMID:  22971940     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Metabolic syndrome (MetS) is occurrence of diabetes mellitus/glucose intolerance, arterial hypertension, central obesity, dyslipidemia and microalbuminuria in the same patient (definition by WHO). Presence of metabolic syndrome is associated with larger myocardial infarction size and complications following acute myocardial infarction. Two hundred and thirty patients with acute coronary syndromes were analyzed. Those with MetS (n=141) included patients with diabetes mellitus/glucose intolerance and at least two of the following criteria: hypertension, hypertriglyceridemia/low HDL cholesterol, android obesity/body mass index (BMI) ≥ 30, microalbuminuria. Control group did not meet criteria for MetS. Presence of heart failure was assigned according to Killip graduation. The MetS group had larger myocardial infarction size determined by peak creatin-kinase (CK) (1484±1354 vs. 981±890, p = 0.003) and creatin-kinase MB (141±117 vs. 95±78, p = 0.002). While in non-MetS group males had larger myocardial infarction than females, in MetS group females had larger myocardial infarction than males. Cardiac failure occurred more in MetS group of patients, again more emphasized in females. Occurrence of metabolic syndrome in acute coronary syndromes patients predisposes to larger myocardial infarction size, more on the account of female patients having MetS. MetS, again particularly in females predisposes to higher chance of having heart failure during acute coronary syndromes. Recognizing the female group with MetS as of higher risk for large myocardial infarction and heart failure leads us to take special attention on this patients.
Authors:
Darko Kranjcec; Velimir Altabas
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-17
Journal Detail:
Title:  Endocrine journal     Volume:  -     ISSN:  1348-4540     ISO Abbreviation:  Endocr. J.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-9-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9313485     Medline TA:  Endocr J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiology, Division of Internal Medicine, Zabok General Hospital, Zabok,Croatia.
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