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Prevalence of Metabolic Syndrome in Patients With Clinically Advanced Peripheral Vascular Disease
Laila R. Qadan, MD*,
Adel A. Ahmed, MD,
Hussein A. Safar, MD,
Marzouk A. Al-Bader, MD,
and
Amr A. Ali, MD
Kuwait University
* To whom correspondence should be addressed. E-mail: lailaqadan{at}hotmail.com.
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Abstract |
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The aim of this cross-sectional study was to determine the prevalence of metabolic syndrome (MetS) and its components among 100 patients with progressive peripheral arterial disease (PAD) referred for diagnostic angiography in preparation for a revascularization procedure. The prevalence of MetS was more than 95%. Diabetes mellitus was the most prevalent component followed by hypertension and low high-density lipoprotein. Almost half the patients aggregated in the highest metabolic score category. A direct relationship was identified between the number of MetS components and serum uric acid (P = .001) and C-reactive protein (P = .826), whereas an inverse relationship was seen between the clustering of components and androgen levels in men (P < .001). For PAD, which could have a benign clinical course, early screening for MetS might identify those at greater risk of failing conservative therapy and progressing to a more aggressive atherosclerotic disease typically associated with high morbidity and mortality.
First published on April 2, 2008, doi:10.1177/0003319707304582
Angiology 2008;59:198.
A more recent version of this article appeared on May 1, 2008

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M. Maksimovic, H. Vlajinac, D. Radak, J. Marinkovic, and J. Jorga
Relationship Between Peripheral Arterial Disease and Metabolic Syndrome
Angiology,
October 1, 2009;
60(5):
546 - 553.
[Abstract]
[PDF]
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