[Characteristic of metabolic syndrome in subjects with or without cardiovascular diseases]

Identification of risk factors of metabolic syndrome (MS) as a part of primary prophylaxis allows early diagnosis and appropriate treatment. Secondary prophylaxis may lead to decreased number of complications and deaths resulting from cardiovascular diseases in subjects with MS.

To assess the risk factors of MS and incidence of MS in subjects with or without cardiovascular diseases.

There were two groups of patients. I group--600 patients with primary prophylaxis, without cardiovascular diseases, aged 35-60 (49.57 +/- 8.5) and II group--231 patients with cardiovascular diseases (hypertension, ischaemic heart disease, type 2 diabetes), aged 27-69 (56.5 +/- 11.3). MS was diagnosed according to the IDF criteria from 2005.

MS was diagnosed in 141 cases of 600 patients with primary prevention what gives 23.5% out of whole study group. In the I group the most common were: abdominal obesity (100%), hypertriglyceridemia (80.2%), hypertension (64.7%) and fasting hyperglycemia (55.2%). MS was diagnosed in 158 cases of 231 patients with cardiovascular disease what gives 68.4% out of whole study group. MS was the most frequent in patients with type 2 diabetes (90.32%), in patients with hypertension (71.58%) and the least common in patients with cardiovascular disease (59.05%). In the II group the most frequent were: abdominal obesity (100%), hypertension (89.24%), fasting hyperglycemia (75.32%).

MS occurs more often in patients with cardiovascular diseases than in the total population. Cardiovascular diseases are connected with fasting hyperglycemia, systolic hypertension and high WHR.