Rampengan, Starry H.
(2014)
PREVALENCE AND CORRELATION OF METABOLIC SYNDROME
IN ACUTE MYOCARDIAL INFARCTION OF YOUNG ADULTS IN
JADE CARDIOVASCULAR CLINIC.
In: Simposium Konferensi Kerja Nasional PAPDI XIII 2014.
Abstract
Background. The correlation between Metabolic Syndrome and Acute Myocardial Infarction
(AMI) has not yet been studied in Jade Cardiovascular Clinic, especially at young Adults. In a
population-based sample of patients with AMI, we sought to determine the prevalence of
metabolic syndrome in patients with AMI and to assess the relative influence of each of the
components of the National Cholesterol Education Program (NCEP) Adult Treatment (ATP)
III definition of metabolic syndrome on the incidence of Myocardial Infarction.
Method. A total of 411 patients unselected, consecutive patients hospitalized with AMI
between Januari 2009 - June 2014 were categorized according to the NCEP ATP III metabolic
syndrome criteria (presence 3 of the following, hyperglycemia; triglyceride level > 150
mg/dL (~1.7 mmol/L); high-density lipoprotein cholesterol level< 40 mg/dL (1.04 mmol/L)
in men and< 50 mg/dL (1.30 mmol/L) in women; blood pressure> 130/85 mmHg; and waist
circumference > 120 cm in men or> 88 cm in women).We did simple random sampling and
we got the number of sample of 7 5.
Results. Among the 411 patients who fulfilled the criteria for metabolic syndrome, we
analyzed 75 patients. Patients with metabolic syndrome were more likely to be men (73.8%).
We found that high triglyceride level percentage was about 49.33%, low HDL level about
72%, and elevated blood pressure about 37.33%. In these metabolic syndrome patients, we
found the incidence of NSTEACS were 22.66%, Recent MCI were 10.66%, and acute STEMI
were 66.66%.
Conclussion. Low HDL level is still the major component for the incidence of Myocardial
Infarction onset at young adults.
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