Resumen

VALDES RAMOS, Eduardo  y  BENCOSME RODRIGUEZ, Niurka. Metabolic syndrome and cardiovascular disease in type 2 diabetes mellitus patients. Rev Cubana Endocrinol [online]. 2013, vol.24, n.2, pp. 125-135. ISSN 1561-2953.

Objective: to ascertain the prevalence of the metabolic syndrome and its relationship with the cardiovascular disease observed in type 2 diabetes mellitus patients. Methods: a cross-sectional and descriptive study of 1 005 diabetes mellitus type 2 patients admitted to the Center for the Care of Diabetics in Bayamo, Granma province was conducted from October 2008 to July 2011. For the definition of this syndrome, the study used the diagnosing criteria of the World Health Organization, of the Third Report of the National Cholesterol Education Program and of the International Diabetes Federation. The clinical histories provided the demographic, clinical and metabolic data under study. Results: seven hundred eighty two cases (77.8 %) presented with metabolic syndrome according to the criteria of the International Diabetes Federation; 669 (66.6 %) had it in accordance with the Third Report of the National Cholesterol Education Program and 623 (61.9 %) were also affected according to the World Health Organization. The existence of metabolic syndrome increased the risk of developing ischemic cardiopathy regardless of the diagnostic criteria (p< 0.05). None of the risk factors included in the metabolic syndrome was significantly associated to the occurrence of cardiovascular disease when this syndrome was non-existent. Conclusions: the prevalence of the metabolic syndrome was high in the studied sample. Its presence increased the risk of ischemic cardiopathy, regardless of the diagnostic criteria that are used.

Palabras clave : metabolic syndrome; diabetes mellitus type 2; ischemic cardiopathy.

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