CORONARY ANGIOGRAPHIC FINDINGS IN PATIENTS WITH METABOLIC SYNDROME

Abstract

Background  and objectives:metabolic syndrome is a common disorder associated with increased risk of cardiovascular diseases and diabetes , its prevalence in Iraq is not well estimated , many studies relate the relation of this syndrome to coronary artery disease due to the clustering of the cardiovascular risk factors in this syndrome , for this reason we tried in our study to evaluate the relationship between this syndrome and ischemic heart disease documented by coronay  angiography , furthermore we planned in our study to classify and determine the severity  of different coronary lesion in this syndrome. Patients and methods: in this study we enrolled 146 patients with lschemic heart disease, 76 of them having the criteria of metabolic syndrome  and 70 patients with IHD and no metabolic syndrome  were taken as controls between February 2010 to February 2011- angiography was done for all the patients, and the different  types of coronary  lesions and their complexity scores analyzed and reported according to the American  heart association criteria and syntax scoring system. Results &Conclusion:  The mean syntax score was significantly higher among patients with  this syndrome and also, complex coronay  lesions in from of, ostial, bifucational and multi vessels disease were significantly higher in this group wether they are diabetics or not in comparison to the control group.