Characteristics of different parameters of metabolic syndrome in subjects undergoing coronary angiogram and their association with peripheral vascular disease

AimsMetabolic syndrome is associated with increased risk of cardiovascular disease. This study was undertaken to identify the parameters of metabolic syndrome which can predict cardiovascular and peripheral vascular disease.MethodsA total 360 subjects were selected purposively, among them 260 subjects (group 1) were selected from Ibrahim Cardiac Hospital and Research Institute (ICHRI), who reported for coronary angiogram and 100 subjects were selected from outpatient department, BIRDEM coming for follow up with no past history of CAD.ResultsAmong the subjects 64.6% of group 1 and 66% of group 2 subjects had metabolic syndrome. In group 1, 79.2% had positive and 20.8% had normal angiographic finding. Among the CAG positive subjects 38.83% had single, 30.09% had double and 31.08% had triple vessel disease, 62.1% had waist circumference above normal, 90% had dyslipidemia and dysglycemia. In group 1, 83.9% of diabetic and 69.76% of nondiabetic had positive angiographic finding.ConclusionsThis study reveals that hypertriglyceridemia, waist circumference and hypertension are significantly related with angiographic positivity. Peripheral vascular disease as measured by low ankle brachial index is not significantly higher in CAG positive subjects and it was not evident that metabolic syndrome is influencing the occurrence of PVD in association with CAD.