2018-12

Medical Journal of Babylon (القضية : 4) (الحجم : 15)

of cardiac risk factors and associated morbidity. These risk factors were mostly contributed in the metabolic syndrome. Objective: The study 14 15 aimed to determine the prevalence of metabolic syndrome among patients with angiographically documented CAD and its relation with the 15 16 severity of CAD. Materials and Methods: In the current cross‐sectional study, a total of 320 patients aged 18 years and older of both genders 16 17 and diagnosed with CAD by medical and clinical examinations and angiography findings were included in the study. Patients with normal 17 18 angiographic or nonsignificant coronary stenosis and those with acute coronary syndrome were excluded from the study. Results: The prevalence 18 19 of metabolic syndrome in patients diagnosed with CADs was 68.4% in this study. The numbers and severity of coronary arteries involved were 19 20 importantly increased through increasing the numbers of the components of the metabolic syndrome that the patient have it. The majority of the 20 21 patients with right coronary artery (67.6%), circumflex artery (63.2%), left anterior descending (66.7%), and multivessel (69.8%) had metabolic 21 22 syndrome with no significant difference (P = 0.913). Moreover, the most of the patients with one vessel (66.4%), two vessels (68.2%), three 22 vessels (72.2%), and four vessels (66.7%) were metabolic syndrome (P = 0.846). Between the individual components, diabetes mellitus (DM) 23 was the most significant risk factor accounts for the number and severity of the CAD in all CAD patients. Conclusions: The prevalence of 23 24 metabolic syndrome is high among patients with angiographically documented CAD. Patients having metabolic syndrome have more severe 24 25 and more complex CAD.