Resumo

LOPEZ-JARAMILLO, Patricio et al. Differences in metabolic syndrome diagnostic criteria are useful for identifying risk subjects, but loose relevance in patients with coronary disease. Rev. Col. Cardiol. [online]. 2006, vol.13, n.1, pp.7-12. ISSN 0120-5633.

Antecedents: there is actually a controversy with regard to the existence of metabolic syndrome as an independent entity and there are also differences in the criteria proposed for its diagnosis. Objective: to determine if there exist differences in the frequency of metabolic syndrome diagnosis when applying the Adult Treatment Panel III (ATPIII) and the International Diabetes Federation (IDF) in the Latin-American population with or without atherosclerotic coronary disease. Design - Method: in a cross sectional study, 265 men were included. 166 of them had no coronary heart disease (-CHD) and 99 had suggestive clinical manifestations of coronary disease (+CHD). 36.3% of these had angiographic demonstration of luminal coronary artery disease. Complete physical examinations, determination of glycemia and lipid profile were performed. The ATPIII and IDF criteria were applied for the metabolic syndrome diagnosis and its frequency in each group was calculated. Results: in both groups studied, the application of the ATPIII criteria registered lower frequencies of metabolic syndrome than with the IDF criteria. Nevertheless, this difference was significant only in the group of patients without antecedents of coronary heart disease (-CHD). (IDF=33.1% vs. ATPIII=47.2% p = 0.2). Conclusions: These results show that the incorporation of central obesity into the diagnostic criteria of metabolic syndrome and the definition of the cutting points proper for each region are important in the identification of Latin-Americans with metabolic syndrome.

Palavras-chave : metabolic syndrome; cardiovascular risk; coronary atherosclerotic disease; waist circumference; diagnostic criteria.

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