Isra Medical Journal

Title:

FREQUENCY OF METABOLIC SYNDROME AND ASSOCIATED MORTALITYIN NEWLY DIAGNOSED ACUTE ISCHEMIC CARDIAC PATIENTS

Authors:

JAHANZEB MAQSOOD, ADNAN GHAFOOR, TALAL SAFDAR

Published on:

2017-02-28

Journal Reference:

Volume 9- Issue 1 January - February 2017

Pages:

24-28

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DOI:

ABSTRACT

OBJECTIVES: To determine the frequency of metabolic syndrome in acute ischemic cardiac patients and its impact on hospitaloutcomes.

STUDY DESIGN: Descriptive case series study.

Place and Duration: Coronary Care Unit (CCU), Fauji Foundation Hospital, Rawalpindi over a period of nine months i.e. from 18th Feb2011 to 18th Nov 2011,

METHODOLOGY: A total of 188 patients were admitted with first ever episode of acute ST elevated myocardial infarction (diagnosedon the basis of WHO Criteria for diagnosis of acute MI). Outcomes measured were frequency of metabolic syndrome, median durationof hospital stay, the development of clinical heart failure (classified as per Killip classification) and in-hospital case mortality.

RESULTS: Among the 188 patients, 76% fulfilled the National Cholesterol Education Program ATP III criteria for metabolic syndrome.The median duration of hospital stay was five days. Increased incidence of heart failure and increased mortality was observed amongpatient with metabolic syndrome

CONCLUSIONS: The frequency of metabolic syndrome in acute ischemic cardiac patients was high and was found to be associated withadverse hospital outcomes, with a higher risk of development of heart failure and mortality.

KEY WORDS: Metabolic syndrome, coronary artery disease, acute myocardial infarction, hospital outcomes, insulin resistance,syndrome X.