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Metabolic syndrome (MS) is a complex clinical metabolic disorders caused by a variety of causes, including obesity, high blood pressure, abnormal glucose regulation, lipid metabolism and insulin resistance, both developed and developing countries, is a common disease, epidemiological investigation showed that the incidence of MS in the country, outside of showing a rising trend, and significantly increased its lead to cardiovascular complications, is an important cause of a variety of cardiovascular and cerebrovascular diseases and risk factors. Coronary angiography in patients with more high-risk groups for the metabolic syndrome, investigate its prevalence status and distribution of risk factors as well as the relationship between MS and coronary heart disease, MS, and coronary heart disease prevention and control. The purpose of the study the male coronary angiography in patients with metabolic syndrome disease distribution, and analysis of the metabolic syndrome and cardiovascular risk factors. Of the metabolic syndrome and its related risk factors for coronary artery disease, and to provide a reliable scientific basis for the prevention and treatment of coronary heart disease. Materials and methods through the retrospective study, we analyzed the 2002-2005 men underwent coronary angiography inpatients Fifth Affiliated Hospital of Zhengzhou University, to choose which medical records of integrity, credibility and a high of 204 cases of hospitalized patients. The study includes medical history (general, personal medical history and behavioral risk factors), physical examination (height, weight, blood pressure, pulse), blood biochemical laboratory tests (fasting blood glucose, cholesterol, triglycerides, high-density lipoprotein - cholesterol, low-density lipoprotein - cholesterol, blood urea nitrogen, creatinine, uric acid, etc.). The diagnostic criteria for coronary heart disease for greater than or equal to 50% of coronary artery lesions involving major coronary branch. Prevalence of the metabolic syndrome and coronary heart disease using a cross-sectional survey, using the case-control study of risk factors. For numeric variables, t-test and ANOVA analysis. Categorical variables, various rate was used to compare the x ~ 2 test, non-conditional logistic stepwise regression analysis of risk factors. 1, metabolic syndrome the prevalence and abnormal components distribution in this study investigated a total of 204 people, according to the diagnostic criteria to determine the prevalence of the metabolic syndrome was 48%. The prevalence of MS and its related metabolic disorders in different age groups is relatively high age group prevalence rate is higher than the low age group, 35-54-year-old and ≥ 55-year-old age group, hypertension, obesity, and glucose metabolism abnormalities, abnormal lipid metabolism and MS prevalence rate of 52.3% and 56.9%, p> 0.05; 35.2% and 62.1%, p <0.01:36.4% and 50.9%, p <0.05; 55.7% and 67.2%, p> 0.05; 37.5 % and 56%, p <0.05. According to the diagnostic criteria of the metabolic syndrome, there are three indicators abnormalities can be diagnosed as MS, found after analysis of different combinations of three abnormal four abnormal and and five abnormal Share constituent ratio reached 56.1%, respectively, 33.7% and 10.2% . 2, metabolic syndrome risk factors analysis studies have shown that too little physical activity, smoking, family history of diabetes, family history of coronary artery disease, and metabolic syndrome a number of components are the risk factors of the MS, and adequate intake of vegetables a certain sense of protection. All risk factors into Logistic regression analysis showed that fasting plasma glucose, systolic blood pressure, triglycerides, and body mass index is the most meaningful, OR values ??were 3.183; 1.077; 4.787; 1.692. Coronary heart disease group and non-CAD group survey of all 204 cases of MS and its analysis of the components of this study, the CHD group (153 cases) and non-CAD group (n = 51) compared to the prevalence of the metabolic syndrome was significantly higher than the non-metabolic syndrome group, the metabolic syndrome and its components as a risk factor for regression analysis showed that the metabolic syndrome, excessive body mass index, plasma high density lipoprotein reduce the major risk factors, OR = 2.384,3.689 and 3.219. In addition, the metabolic syndrome compared with non-metabolic syndrome group, MS group of multi-vessel disease were significantly higher than the non-MS group. The narrow extent specific to each disease, the MS group, the prevalence of severe stenosis was significantly higher (P <0.01). Types of coronary heart disease, non-MS group more stable angina the MS group mainly unstable angina and myocardial infarction. This study shows that the prevalence of male coronary angiography in patients with high metabolic syndrome and its related diseases, fasting glucose, systolic blood pressure, triglycerides, and body mass index is a major risk factors. Metabolic syndrome can increase the incidence of coronary heart disease, coronary artery lesion is extensive and complicated. Early awareness, to interfere with the metabolic syndrome is a key link in the prevention and treatment of coronary heart disease.
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