title: [Prevalence of metabolic syndrome and its components in patients with acute coronary syndrome].
abstract: OBJECTIVE
  A large proportion of patients with coronary disease have metabolic syndrome, although the frequency and association of its different components are not well understood. The aim of this study was to determine the prevalence of metabolic syndrome and the combination of its components in a Spanish cohort of patients with acute coronary syndrome.
  
  
  METHODS
  Clinical histories of 574 inpatients with acute coronary syndrome in 6 tertiary hospitals were reviewed and the presence of metabolic syndrome and its components determined by applying Adult Treatment Panel III criteria. In a second step, the components of the metabolic syndrome were analyzed, excluding those patients with diabetes mellitus.
  
  
  RESULTS
  The metabolic syndrome was present in 50.9% of patients and was more frequent in women than in men (66.3% vs. 47.3%; P<.001). The most prevalent component was carbohydrate metabolism disorder (85.3%), followed by low high-density lipoprotein cholesterol (HDLc) levels (80.5%). In nondiabetic patients, 34.6% had metabolic syndrome and the most prevalent component was low HDLc levels (86%), followed by high blood pressure and hypertriglyceridemia and, in fourth place, impaired fasting serum glucose levels.
  
  
  CONCLUSIONS
  The metabolic syndrome has a high prevalence in patients with an acute coronary syndrome, especially in women. The most frequent components are hyperglycemia and low HDLc levels. After excluding diabetic patients, the most prevalent diagnostic criterion of metabolic syndrome was low HDLc levels. Full English text available from: www.revespcardiol.org.
authors.affiliation: Servicio de Endocrinología, Hospital Universitario Dr. Peset y Fundación para la Investigación Hospital Universitario Dr. Peset, Valencia, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Jover
authors.forename: Emili
authors.initials: E
authors.lastname: Corbella
authors.forename: Anna
authors.initials: A
authors.lastname: Muñoz
authors.forename: Jesús
authors.initials: J
authors.lastname: Millán
authors.forename: Xavier
authors.initials: X
authors.lastname: Pintó
authors.forename: Alipio
authors.initials: A
authors.lastname: Mangas
authors.forename: Manuel
authors.initials: M
authors.lastname: Zúñiga
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet
authors.forename: Antonio
authors.initials: A
authors.lastname: Hernández-Mijares
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000453:epidemiology*; D000367:Age Factors; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D015331:Cohort Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D057185:Sedentary Behavior; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D013030:Spain / Q000453:epidemiology
chemical_list: D001786:Blood Glucose