title: [Prevalence of metabolic syndrome in patients with coronary heart disease].
abstract: OBJECTIVE
  We aimed to know the prevalence of classical cardiovascular risk factors, hyperinsulinism, insulin resistance and metabolic syndrome (MS) in a population with coronary heart disease (CHD) as compared with a population without personal or familial history of cardiovascular risk factors.
  
  
  METHODS
  This was an observational and transversal study of cardiovascular risk factors making up the MS in an adult population. 367 subjects aged 35-79 years (268 men and 99 women) were studied; 185 had CHD (141 men and 44 women) and 182 (127 men and 55 women) were included as a control population. 82 individuals of the control group who had no MS components were selected for the calculation of parameters of hyperinsulinism and the HOMA (Homeostasis Model Assessment) index in order to evaluate the insulin resistance.
  
  
  RESULTS
  As compared with the control group, patients with CHD showed higher blood pressure (systolic and dyastolic), body mass index (BMI), triglicerydes and apo B100 concentrations, and lower HDL-c and apo A1 values. They also exhibited higher values of glycemia and insulinemia and consequently a higher HOMA index. The values of insulin and HOMA (percentil 75), obtained from the selected group for this purpose, were 12 U/ml and 3.03, respectively. In the CHD population, 38.28% (95% CI, 31.13-45.95) had hyperinsulinism, 47.02% (95% CI, 39.70-54.47) had insulin resistance (HOMA) and 41.08% (95% CI, 33.98-48.55) had MS.
  
  
  CONCLUSIONS
  There was a high prevalence of cardiovascular risk factors in the CHD population. Patients with CHD have higher hyperinsulinism and insulin resistance as well as a greater prevalence of MS. Despite treatment, a clear association exists between MS and CHD in both men and women.
authors.affiliation: Sección de Endocrinología. Hospital Universitario Dr. Peset. Valencia. Spain. hernandez_antmij@gva.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Hernández Mijares
authors.forename: Concepción
authors.initials: C
authors.lastname: Riera Fortuny
authors.forename: Eva
authors.initials: E
authors.lastname: Solá Izquierdo
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: Oliver Oliver
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Martínez Triguero
authors.forename: Carlos
authors.initials: C
authors.lastname: Morillas Ariño
authors.forename: María
authors.initials: M
authors.lastname: Morales Suárez-Varela
mesh_terms: D000328:Adult; D000368:Aged; D003324:Coronary Artery Disease / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors