Ramic Enisa, Prasko Subhija, Mujanovic Olivera Batic, Gavran Larisa
Health Center Tuzla, Tuzla, Bosnia and Herzegovina.
Faculty for Health Sciences, University of Zenica, Zenica, Bosnia and Herzegovina.
Mater Sociomed. 2016 Feb;28(1):71-3. doi: 10.5455/msm.2016.28.71-73. Epub 2016 Jan 30.
Due to sedentary lifestyles and excessive calorie intake, metabolic syndrome is becoming increasingly common health problem in the world, as well as in our country, and it is estimated to occur in 30% of the population of middle and older age. The metabolic syndrome is a combination of disorders that include: obesity, insulin resistance, glucose intolerance, impaired regulation of body fat and high blood pressure. Complications resulting from metabolic syndrome significantly reduces quality of patient's life and represents a huge socio-economic burden. Metabolic syndrome therapy is directed to reduce all risk factors, and that means the change of lifestyle, which includes a reduction of body weight, physical activity, antiatherogenic diet and smoking cessation. Medical therapy is aimed to the individual risk factors.
In case of our patient, despite the optimal standard therapy, including drugs for the regulation of LDL and HDL cholesterol and triglycerides, an intensive control of blood pressure and glucose, failure to implement the recommended treatment led to a myocardial infarction.
The fundamental problem is not the lack of efficacy of available therapeutic measures, medications and procedures, but in insufficient implementation.
由于久坐不动的生活方式和热量摄入过多，代谢综合征在全球以及我国正成为日益常见的健康问题，据估计在中老年人群中发病率为30%。代谢综合征是多种病症的组合，包括：肥胖、胰岛素抵抗、葡萄糖不耐受、体脂调节受损和高血压。代谢综合征引发的并发症显著降低了患者的生活质量，并带来巨大的社会经济负担。代谢综合征的治疗旨在降低所有风险因素，这意味着要改变生活方式，包括减轻体重、进行体育活动、采用抗动脉粥样硬化饮食和戒烟。药物治疗针对个体风险因素。
就我们的患者而言，尽管采用了最佳标准治疗，包括使用调节低密度脂蛋白和高密度脂蛋白胆固醇及甘油三酯的药物、严格控制血压和血糖，但未能实施推荐的治疗导致了心肌梗死。
根本问题不在于现有治疗措施、药物和程序缺乏疗效，而在于实施不足。
