PMID- 22263382
OWN - NLM
STAT- MEDLINE
DCOM- 20120207
LR  - 20220321
IS  - 0353-9466 (Print)
IS  - 0353-9466 (Linking)
VI  - 50
IP  - 2
DP  - 2011 Jun
TI  - Metabolic syndrome and outcome in patients with acute myocardial infarction.
PG  - 193-9
AB  - The impact of the metabolic syndrome/insulin resistance syndrome (MS/IRS) on the 
      severity and prognosis of acute ST elevation myocardial infarction (STEMI) 
      treated with primary percutaneous coronary intervention (PCI) was assessed using 
      the American Association of Clinical Endocrinologists and American College of 
      Endocrinology (AACE/ACE) definition from 2003. A total of 385 patients having 
      suffered acute STEMI and treated with primary PCI over a two-year period were 
      divided into two groups (with and without MS/IRS) and compared according to the 
      parameters of severity (clinical, laboratory, echocardiography, coronary 
      angiography parameters and complications) and prognosis using major adverse 
      cardiovascular events (MACE) during the six-month follow-up of acute STEMI. In 
      comparison with control group, the MS/IRS group of patients had worse or similar 
      results of almost all study parameters of severity (hospital days 6.5 versus 6.5, 
      cardiogenic shock 2.9% versus 2.6%, cardiac arrest 6.8% versus 5.2%, reinfarction 
      0.5 versus 1.6%) and prognosis (total MACE 30.7 versus 30.7%), however, none of 
      the differences reached statistical significance. It is concluded that the 
      unexpected lack of such differences in MS/IRS could be due to the absence 
      ofwaist-to-hip ratio in the definition and other open questions in metabolic 
      syndrome in general.
FAU - Babic, Zdravko
AU  - Babic Z
AD  - Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, 
      Croatia. zbabic@net.hr
FAU - Pavlov, Marin
AU  - Pavlov M
FAU - Bulj, Nikola
AU  - Bulj N
FAU - Heitzler, Vjeran Nikolic
AU  - Heitzler VN
FAU - Mitrovic, Veselin
AU  - Mitrovic V
FAU - Hamm, Christian
AU  - Hamm C
FAU - Weber, Michael
AU  - Weber M
LA  - eng
PT  - Journal Article
PL  - Croatia
TA  - Acta Clin Croat
JT  - Acta clinica Croatica
JID - 9425483
SB  - IM
MH  - *Angioplasty, Balloon, Coronary
MH  - Female
MH  - Humans
MH  - Male
MH  - Metabolic Syndrome/*complications
MH  - Middle Aged
MH  - Myocardial Infarction/complications/*therapy
MH  - Prognosis
MH  - Treatment Outcome
EDAT- 2012/01/24 06:00
MHDA- 2012/02/09 06:00
CRDT- 2012/01/24 06:00
PHST- 2012/01/24 06:00 [entrez]
PHST- 2012/01/24 06:00 [pubmed]
PHST- 2012/02/09 06:00 [medline]
PST - ppublish
SO  - Acta Clin Croat. 2011 Jun;50(2):193-9.