Clinical characteristics in patients with acute myocardial infarction complicated with metabolic syndrome

Objective To discuss the clinical characteristics in the patients with acute myocardial infarction (AMI) complicating with complicating metabolic syndrome (MS). Methods A retrospective study was carried out in 81 AMI patients with complicating MS (MS group) and 94 AMI patients without MS (non-MS group). The basic clinical conditions,causative factors,clinical manifestations,infarction location and myocardial injury marker were compared between two groups. Results Compared with the non-MS group,in MS group there were more older and female patients (34.6% vs. 17.0%;P0.01),less patients with smoking (43.2% vs. 59.6%) and family CHD history (13.6% vs. 25.5%),less with chest pain (66.7% vs. 81.9%),and more with pumping function≥KillipⅡ scale (35.8% vs. 22.3%;all P0.05). The incidence rate was higher after overeating (18.5% vs. 7.4%) and agitation (13.6% vs. 4.3%;all P0.05). The MS group had higher hospital mortality (22.2% vs. 10.6%;P0.05),higher rate of anterior infarction (51.9% vs. 36.2%;P0.05) and higher level of isoenzymes of creatine kinase [(147±19) U/L vs. (122±14) U/L;P0.01]. Conclusions Compared with the AMI patients without MS,the patients with AMI and complicating MS are older,and more of them are female. They have poor short-term prognosis.