Impact of metabolic syndrome on hospital outcomes in acute myocardial infarction patients
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Metabolic syndrome is characterized by various components. Studies have revealed the pathophysiology of this syndrome, with close to a six fold increase in cardiovascular mortality in those possessing this disorder. This syndrome leads to many complications, acute MI is one of them, so study was planned to assess the impact on hospital outcome. Aim and objective: To study the impact of the metabolic syndrome on hospital outcomes. Methodology: A total of 358 patients of acute MI admitted during the 2 year study period. We studied these patients by dividing into two groups as patients with METS (163) and patients with non METS (195) with the use of NCEP ATPIII criteria. Results: The prevalence of METS was 45.53%. The age of the patients ranged from 23 to 83 years. The mean age was 56.19±11.56 years in patients with METS. Male cases predominated in both the groups with and without metabolic syndrome (71.16% and 77.94% respectively). Chest pain was the most common symptom in both the groups METS and non METS (96.93% and 98.97%) respectively. During one week in hospital outcome of myocardial infarction, 49.69% of patients had heart failure, 26.38% had case fatality. The statistical difference of these outcomes was highly significant. Discussion and Conclusion: Development of complications in acute myocardial infarction was around 4 times higher in metabolic syndrome patients compared to without metabolic syndrome cases.
Authors and Affiliations
Pravin Rohidasrao Bhagat, Shubhangi Virbhadra Swami
Keywords
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