1Assistant Professor, Department of Physiology, Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari
2Physician, Government Hospital, Padmanabhapuram, Kanyakumari District
Online published on 6 November, 2014.
The study was done to determine the prevalence of metabolic syndrome in 100 newly diagnosed patients with essential hypertension in a tertiary care hospital, from South Tamilnadu, India. Hypertension, diabetes, insulin resistance and metabolic syndrome are all risk factors for coronary heart disease. Many patients with essential hypertension have associated metabolic abnormalities at the time of diagnosis. The results obtained show that 10% of hypertensives had diabetes and 32% had impaired glucose tolerance. 54% cases had any one form of dyslipidemia. Females (65%) were more dyslipidemic than males (46.67%). 48% patients fulfilled the criteria for metabolic syndrome. 46% of hypertensives had abnormal waist circumference; 30% had raised fasting glucose; 38% had low HDL and those with raised triglyceride were also 38%. Low HDL was predominant in males whereas abnormal waist circumference, raised TGL and glucose abnormalities were predominant in females This indicates that metabolic syndrome is very common in essential hypertension and signals the need for proper laboratory investigations to initiate early treatment.
IFG - impaired fasting glucose, IGT - impaired glucose tolerance, DM - Diabetes mellitus, FPG-Fasting plasma glucose, OGTT-Oral Glucose Tolerance Test, LDL-C -Low Density Lipoprotein Cholesterol, HDL- High Density Lipoprotein
