入住心脏监护病房的代谢综合征患者的患病率及临床特征。

The prevalence and the clinical characteristics of metabolic syndrome patients admitted to the cardiac care unit.

作者信息

Alakkas Ziyad, Alswat Khaled A, Otaibi Mohammed Al, Althobaiti Turki, Alzaidi Nazih, Khalek El-Shazly Abdul, Alfifi Abdulaziz

机构信息

Ta'if University, Ta'if, aSaudi Arabia.

Division of Endocrinology and Internal Medicine, Ta'if University, Ta'if, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2016 Jul;28(3):136-43. doi: 10.1016/j.jsha.2015.12.001. Epub 2015 Dec 28.

DOI:10.1016/j.jsha.2015.12.001

PMID:27358530

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4917645/

Abstract

OBJECTIVES

Metabolic syndrome (MetS) is a group of multiple cardiovascular risk factors, including dysglycemia, central obesity, high cholesterol, and hypertension. Cardiovascular disease is one of the most common complications of MetS. Recent studies showed that prevalence of MetS among patients admitted with acute coronary syndrome was as high as 46%.

DESIGN

We conducted a cross-sectional study of 203 patients at the two main hospitals in Ta'if, Saudi Arabia. Patients older than 18 years who were admitted to the Cardiac Care Unit (CCU) between the months of August 2013 and June 2014 were asked to participate. MetS diagnosis was made based on the International Diabetes Federation definition.

RESULTS

A total of 203 patients participated, with 59.1% male and 40.9% were female. The mean age was 60.9 years with a mean body mass index of 28.97 kg/m(2) and a mean waist circumference of 95.45 cm. The prevalence of MetS was 47.8%, primarily among obese female patients who reported sedentary lifestyles. Additionally, MetS patients were more likely to be admitted with heart failure (p < 0.05) and more likely to have moderate-to-severe left-ventricular hypertrophy (LVH; p < 0.05) relative to non-MetS patients.

CONCLUSION

Of the patients admitted to the CCU, 47.8% had MetS, with those patients likely to be female and obese. Furthermore, MetS patients were more likely to be admitted with heart failure and suffer from moderate-to-severe LVH.

摘要

目的

代谢综合征（MetS）是一组多种心血管危险因素，包括血糖异常、中心性肥胖、高胆固醇和高血压。心血管疾病是MetS最常见的并发症之一。最近的研究表明，急性冠状动脉综合征患者中MetS的患病率高达46%。

设计

我们对沙特阿拉伯塔伊夫的两家主要医院的203名患者进行了横断面研究。邀请了2013年8月至2014年6月期间入住心脏监护病房（CCU）的18岁以上患者参与。MetS诊断基于国际糖尿病联盟的定义。

结果

共有203名患者参与，其中男性占59.1%，女性占40.9%。平均年龄为60.9岁，平均体重指数为28.97kg/m²，平均腰围为95.45cm。MetS的患病率为47.8%，主要集中在报告有久坐生活方式的肥胖女性患者中。此外，与非MetS患者相比，MetS患者更有可能因心力衰竭入院（p<0.05），并且更有可能患有中度至重度左心室肥厚（LVH；p<0.05）。