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ORIGINAL ARTICLE
Year : 2010  |  Volume : 1  |  Issue : 1  |  Page : 1

High prevalence of metabolic syndrome in populations at high and low cardiovascular risk in Bulgaria


1 International Scientific Institute, National Sports Academy Sofia; Robert Koch German Medical Center Sofia, Bulgaria
2 Clinic of Cardiology, Medical University Plovdiv, Bulgaria
3 Robert Koch German Medical Center Sofia, Bulgaria
4 International Scientific Institute, National Sports Academy Sofia, Bulgaria

Correspondence Address:
T Temelkova-Kurktschiev
International Scientific Institute, National Sports Academy Sofia; Robert Koch German Medical Center Sofia, Bulgaria

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Source of Support: None, Conflict of Interest: None


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Objective: Metabolic syndrome (MetS) is associated with cardiovascular risk. We examined the prevalence of MetS in well-defined groups with manifest ed cardiovascular disease (CVD) or at high CVD risk, and in a low -risk population. We also analysed the CVD burden of the MetS in these populations. Methods: A total of 2123 subjects were examined : 1.with history of acute myocardial infarction (AMI) (n=372); 2.with hypertension (n=620); 3.with type 2 diabetes mellitus (n=556) and 4.healthy controls (n=575). All participants underwent standardised examination of cardiovascular risk. Results: The prevalence of the MetS was: 80% in men and 89% in women according to the Adult Treatment Panel III (ATPIII) definition, 85% in men and 93% in women according to the International Diabetes Federation (IDF) definition in the AMI group; 43% in men and 53% in women (ATPIII criteria), 47% in men and 61% in women (IDF criteria) in the hypertensive group; 70% in men and 79% in women (ATPIII), 77% in men and 86% in women (IDF) in the diabetic patients; and 23% in men and women (ATPIII), 30% in men and 36% in women (IDF criteria) in the controls. In logistic regression analysis the presence of MetS was found an independent determinant of previous AMI in the examined population. Conclusion: Excessively high prevalence of MetS was found in populations with or at high CVD risk, and a high prevalence even in a low -risk group in Bulgaria. The presence of MetS increased CVD risk.


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