title: [A case of metabolic syndrome with coronary artery disease advanced over 13 years. Case report].
abstract: A 61-year-old man was diagnosed with obesity, diabetes mellitus, and hyperlipidemia associated with insulin resistance in 1988. His condition was complicated with asymptomatic coronary artery disease in 1992. His coronary artery disease gradually progressed during the subsequent 13 years of observation, and he underwent percutaneous coronary intervention four times and also received a coronary artery bypass graft. This is a case of metabolic syndrome with multiple risk factors for arteriosclerosis as visceral obesity, insulin resistance, diabetes, hypertension and hyperlipidemia, in which the recent rapid progression of coronary artery disease might be associated with the discontinuation of statin after coronary artery bypass graft, accompanied with hyper-LDL-choleterolemia. Patients with metabolic syndrome require most comprehensive and strict therapies against multiple risk factors.
authors.affiliation: Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Fukuoka Higashi Medical Center Kyushu University.
authors.forename: Tomoe
authors.initials: T
authors.lastname: Tanigawa
authors.forename: Akihiro
authors.initials: A
authors.lastname: Hayashida
authors.forename: Mieko
authors.initials: M
authors.lastname: Kamou
authors.forename: Eiko
authors.initials: E
authors.lastname: Kohno-Yoshida
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Katsuta
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kaji
authors.forename: Seiho
authors.initials: S
authors.lastname: Nagafuchi
authors.forename: Mine
authors.initials: M
authors.lastname: Harada
mesh_terms: D003327:Coronary Disease / Q000150:complications*; D018450:Disease Progression; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications*; D008875:Middle Aged