Frequency and characteristics of metabolic syndrome in patients with symptomatic carotid atherosclerosis.
BACKGROUND
Metabolic syndrome (MetS) is associated with increased risk of carotid atherosclerosis.


OBJECTIVE
To estimate the frequency of MetS in patients with symptomatic carotid atherosclerotic disease, and to compare clinical, biochemical and ultrasonographic characteristics of patients with and without MetS.


METHODS
Cross-sectional study of 657 consecutive patients (412 males) with symptomatic carotid atherosclerotic disease. Carotid atherosclerosis was estimated by high resolution B-mode ultrasonography. National Cholesterol Education Program (NCEP) M criteria were used for estimation of MetS.


RESULTS
Metabolic syndrome was present in 55.6% of studied patients. Among patients with metabolic syndrome there was a significantly higher proportion of women, and mean values of body weight, body mass index, waist circumference, percentage of body fat, systolic and diastolic blood pressure, serum triglycerides, total cholesterol and glucose were significantly higher. Mean values of high density lipoprotein cholesterol and alcohol consumption were significantly lower in patients with MetS. No differences between patients with or without MetS, were observed for age, smoking, mean values of low density lipoprotein cholesterol, high sensitive C-reactive protein and fibrinogen, and for degree of carotidstenosis or severity of clinical manifestations.


CONCLUSIONS
Half of these patients with carotid stenosis have features of the metabolic syndrome.
Maksimovic
Milos
M
Institute for Hygiene and Medical Ecology, School of Medicine, Belgrade, Serbia. milosmaksimovic71@gmail.com
Vlajinac
Hristina
H
Radak
Djordje
D
Maksimovic
Jadranka
J
Otasevic
Petar
P
Marinkovic
Jelena
J
Jorga
Jagoda
J
D050197:Atherosclerosis / Q000000981:diagnostic imaging / Q000453:epidemiology*; D001794:Blood Pressure; D015992:Body Mass Index; D002340:Carotid Artery Diseases / Q000097:blood / Q000453:epidemiology*; D008076:Cholesterol, HDL / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015228:Hypertriglyceridemia / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D055771:Serbia / Q000453:epidemiology; D017678:Sex Distribution; D014463:Ultrasonography; D055105:Waist Circumference
D008076:Cholesterol, HDL