1Assistant Professor, Department of General Medicine, Saraswathi Institute of Medical Sciences, Hapur, (U.P.)
2Post Graduate III year, Department of General Medicine, Saraswathi Institute of Medical Sciences, Hapur, (U.P.)
3Post Graduate Ist year, Department of General Medicine, Saraswathi Institute of Medical Sciences, Hapur, (U.P.)
4Professor and Head of Department, Department of General Medicine, Saraswathi Institute of Medical Sciences, Hapur, (U.P.)
*Corresponding author: Pankaj Kumar Assistant Professor, Department of General Medicine, Saraswathi Institute Of Medical Sciences, Hapur, (U.P) pankaj19822000@gmail.com, Mob.: 9450136739
Online published on 15 February, 2017.
To Studythe association of coronary artery disease with metabolic syndrome.
A Total 200 patients were included in this study & investigated for coronary artery disease associated with metabolic syndrome or not. A study of presence or absence of metabolic syndrome in coronary artery disease was done. P value was calculated by using analysis of variance test(ANOVA)& P value <0.05 was considered as statistically significant.
Total 200 patients were included in this study in 156 patients(78%) were suffering from metabolic syndrome and 44 patient (22%) were not suffering from metabolic syndrome. Most of the patients suffering from coronary artery disease associated with metabolic syndrome were of older age groups (65.38%)>61 years. Second most common group was (21.79%)51–60 years. Other patients of coronary artery disease not suffering from metabolic syndrome (68.18%) in 51–60 years followed by(18.18%) in > 60 years. Amongst the patients suffering from coronary artery disease and metabolic syndrome males outnumbered females, although this data is not statistically significant p=0.4. Among the CAD patient group prevalence was highest therefore raised fasting blood sugar(n=106) (67.94%) and low HDL values (67.94%), whereas it was lowest for Hypertension(51.28%). In the coronary artery disease group out of total 200 patients 78%(n=156) were suffering from metabolic syndrome and 22%(n=44) were not suffering from metabolic syndrome there is positive correlation between metabolic syndrome and coronary artery disease. Using Test for equality for proportion (z-score) this data is found to be statistically significant.
In coronary artery disease group (total patients =156) 67.5%(n=108) were having 3 risk factors, 50%(n=80) were having 4 risk factors and 11.25%(n=18) were having 5 risk factors of metabolic syndrome among the cases. Among the patients suffering from coronary artery disease (total patients =156) the prevalence of hypertension was 51.28%(n=80), of low HDL was67.94%(n=106), of high TGs was 57.69%(n=90), of raised waist circumference was 56.41%(n=88) and of increased fasting blood sugar was 67.94%(n=106) in the case group.
Lipid level, Coronary artery disease (CAD), Metabolic syndrome(MS), High density lipoprotein (HDL), Low density lipoprotein(LDL), Triglycerides(TGL), NCEP ATP III, NAFLD(Non-alcoholic fatty liver disease)
