title: [Treatment of metabolic syndrome: drugs often but diet always - a case report].
abstract: A case of a 32-year-old male with obesity and hypertension who was admitted to hospital with suspected acute myocardial infarction (MI) is presented. An initial diagnosis of MI was ruled-out, however, diabetes and marked hypertriglyceridemia were detected. Introduction of diet and proper diabetes control with insulin caused a marked decrease in triglyceride and cholesterol levels. After discharge the patient did not comply to dietary recommendations and stopped fibrates due to gastro-intestinal side effects which resulted in a marked elevation in lipid levels. Finally, statin therapy and better compliance to dietary recommendations resulted in the normalisation of cholesterol level, a marked decrease in triglyceride concentration and a loss of 5 kg of body weight. The need for combined treatment consisting of pharmacologic agents and life-style changes is stressed.
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000188:drug therapy; D003937:Diagnosis, Differential; D006801:Humans; D015228:Hypertriglyceridemia / Q000178:diet therapy / Q000188:drug therapy; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome / Q000175:diagnosis / Q000178:diet therapy* / Q000188:drug therapy*; D009203:Myocardial Infarction / Q000175:diagnosis; D012648:Self Care; D013997:Time Factors
chemical_list: D000960:Hypolipidemic Agents