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Impact of the Metabolic Syndrome on the Clinical Outcome of Patients with Acute ST-Elevation Myocardial Infarction

We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STE...

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Published in	Journal of Korean medical science Vol. 25; no. 10; pp. 1456 - 1461
Main Authors	Lee, Min Goo, Jeong, Myung Ho, Ahn, Youngkeun, Chae, Shung Chull, Hur, Seung Ho, Hong, Taek Jong, Kim, Young Jo, Seong, In Whan, Chae, Jei Keon, Rhew, Jay Young, Chae, In Ho, Cho, Myeong Chan, Bae, Jang Ho, Rha, Seung Woon, Kim, Chong Jin, Choi, Donghoon, Jang, Yang Soo, Yoon, Junghan, Chung, Wook Sung, Cho, Jeong Gwan, Seung, Ki Bae, Park, Seung Jung
Format	Journal Article
Language	English
Published	Korea (South) The Korean Academy of Medical Sciences 01.10.2010 대한의학회
Subjects	Acute Disease Age Factors Aged C-Reactive Protein - analysis Cholesterol, LDL - blood Coronary Angiography Female Humans Male Metabolic Syndrome - complications Metabolic Syndrome - epidemiology Middle Aged Multivariate Analysis Myocardial Infarction - complications Myocardial Infarction - mortality Myocardial Infarction - therapy Original Predictive Value of Tests Prognosis Treatment Outcome Ventricular Dysfunction, Left - complications Ventricular Dysfunction, Left - physiopathology 의학일반 Myocardial Infarction Metabolic Syndrome Prognosis
Online Access	Get full text
ISSN	1011-8934 1598-6357 1598-6357
DOI	10.3346/jkms.2010.25.10.1456

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Abstract	We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STEMI) between November 2005 and December 2006 were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men, 64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) (P=0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement (P=0.01). The incidence of in-hospital death was higher in group I than in group II (P=0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI.
AbstractList	We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STEMI) between November 2005 and December 2006 were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men, 64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) (P=0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement (P=0.01). The incidence of in-hospital death was higher in group I than in group II (P=0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI. We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute STelevation myocardial infarction (STEMI) between November 2005 and December 2006were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men,64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) (P=0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement (P=0.01). The incidence of in-hospital death was higher in group I than in group II (P=0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI. KCI Citation Count: 9 We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STEMI) between November 2005 and December 2006 were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men, 64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) ( P =0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement ( P =0.01). The incidence of in-hospital death was higher in group I than in group II ( P =0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI. We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STEMI) between November 2005 and December 2006 were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men, 64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) (P=0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement (P=0.01). The incidence of in-hospital death was higher in group I than in group II (P=0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI.We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing data from the Korea Acute Myocardial Infarction Registry, a total of 1,990 patients suffered from acute ST-elevation myocardial infarction (STEMI) between November 2005 and December 2006 were categorized according to the National Cholesterol Education Program-Adult Treatment Panel III criteria of MS. Primary study outcomes included major adverse cardiac events (MACE) during one-year follow-up. Patients were grouped based on existence of MS: group I: MS (n=1,182, 777 men, 62.8±12.3 yr); group II: Non-MS (n=808, 675 men, 64.2±13.1 yr). Group I showed lower left ventricular ejection fraction (LVEF) (P=0.005). There were no differences between two groups in the coronary angiographic findings except for multivessel involvement (P=0.01). The incidence of in-hospital death was higher in group I than in group II (P=0.047), but the rates of composite MACE during one-year clinical follow-up showed no significant differences. Multivariate analysis showed that low LVEF, old age, MS, low high density lipoprotein cholesterol and multivessel involvement were associated with high in-hospital death rate. In conclusion, MS is an important predictor for in-hospital death in patients with STEMI.
Author	Rha, Seung Woon Choi, Donghoon Chung, Wook Sung Ahn, Youngkeun Jang, Yang Soo Seung, Ki Bae Park, Seung Jung Cho, Jeong Gwan Hong, Taek Jong Seong, In Whan Hur, Seung Ho Cho, Myeong Chan Yoon, Junghan Kim, Chong Jin Jeong, Myung Ho Chae, Jei Keon Chae, Shung Chull Bae, Jang Ho Rhew, Jay Young Chae, In Ho Lee, Min Goo Kim, Young Jo
AuthorAffiliation	3 Keimyung University Dongsan Medical Center, Daegu, Korea 6 Chungnam National University Hospital, Daejon, Korea 17 Asan Medical Center, Seoul, Korea 9 Seoul National University Bundang Hospital, Seongnam, Korea 11 Konyang University, Daejon, Korea 5 Yeungnam University Hospital, Daegu, Korea 15 Yonsei University Wonju Christian Hospital, Wonju, Korea 10 Chungbuk National University, Cheongju, Korea 1 The Heart Center of Chonnam National University Hospital, Gwangju, Korea 13 Kyunghee University Hospital, Seoul, Korea 16 Catholic University of Korea St. Mary's Hospital, Seoul, Korea 2 Kyungpook National University, Daegu, Korea 12 Korea University Guro Hospital, Seoul, Korea 14 Yonsei University Hospital, Seoul, Korea 7 Chonbuk National University Hospital, Jeonju, Korea 4 Pusan National University Hospital, Busan, Korea 8 Jeonju Presbyterian Medical Center, Jeonju, Korea
AuthorAffiliation_xml	– name: 10 Chungbuk National University, Cheongju, Korea – name: 5 Yeungnam University Hospital, Daegu, Korea – name: 4 Pusan National University Hospital, Busan, Korea – name: 9 Seoul National University Bundang Hospital, Seongnam, Korea – name: 13 Kyunghee University Hospital, Seoul, Korea – name: 1 The Heart Center of Chonnam National University Hospital, Gwangju, Korea – name: 17 Asan Medical Center, Seoul, Korea – name: 11 Konyang University, Daejon, Korea – name: 2 Kyungpook National University, Daegu, Korea – name: 8 Jeonju Presbyterian Medical Center, Jeonju, Korea – name: 6 Chungnam National University Hospital, Daejon, Korea – name: 15 Yonsei University Wonju Christian Hospital, Wonju, Korea – name: 12 Korea University Guro Hospital, Seoul, Korea – name: 14 Yonsei University Hospital, Seoul, Korea – name: 7 Chonbuk National University Hospital, Jeonju, Korea – name: 3 Keimyung University Dongsan Medical Center, Daegu, Korea – name: 16 Catholic University of Korea St. Mary's Hospital, Seoul, Korea
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Snippet	We sought to determine the prevalence of metabolic syndrome (MS) in patients with acute myocardial infarction and its effect on clinical outcomes. Employing...
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SubjectTerms	Acute Disease Age Factors Aged C-Reactive Protein - analysis Cholesterol, LDL - blood Coronary Angiography Female Humans Male Metabolic Syndrome - complications Metabolic Syndrome - epidemiology Middle Aged Multivariate Analysis Myocardial Infarction - complications Myocardial Infarction - mortality Myocardial Infarction - therapy Original Predictive Value of Tests Prognosis Treatment Outcome Ventricular Dysfunction, Left - complications Ventricular Dysfunction, Left - physiopathology 의학일반
Title	Impact of the Metabolic Syndrome on the Clinical Outcome of Patients with Acute ST-Elevation Myocardial Infarction
URI	https://www.ncbi.nlm.nih.gov/pubmed/20890426 https://www.proquest.com/docview/756660424 https://pubmed.ncbi.nlm.nih.gov/PMC2946655 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001483770
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