Impact of Metabolic Syndrome On Hospital Outcome In Patients With Acute Coronary Syndrome In Hawler Teaching Hospital

Abstract

Background and Objectives:According to the world health organization data published on April 2011, coronary heart disease deaths reached 14.12% of the total deaths in Iraq. The objective of the study was to evaluate the effect of metabolic syndrome on in hospital complications, left ventricular systolic function and ischemic mitral regurgitation in patients with first acute coronary syndrome. Patients and Methods:The study sample consisted of 95 patients (57 male, 38 female), their ages ranged between 35-90 years with the first acute coronary syndrome who had been admitted to the Coronary Care Unit of Hawler Teaching Hospital from October 2013 to April 2014.Patients were categorized in to group A that represent those with metabolic syndrome and group B without met- abolic syndrome. Results:Hypertension, diabetes, fasting hyperglycemia and hypertriglyceridemia were higher among group A than group B. Cardiogenic shock, pulmonary edema, arrhythmias, mortality, early ischemic mitral regurgitation and early Left ventricular systolic dysfunction were higher among group A vs. group B but without statistical significance. Conclusions:Metabolic syndrome is an important predictor for in hospital complications, left ventricular systolic dysfunction and early ischemic mitral regurgitation in patients with acute coronary syndrome.