代谢综合征和冠心病

omen’s Health Study, Ridker NEJM 2002:347:1557РMI=myocardial infarction.?*These patients had no prior MI at baseline.?Haffner et al. N Engl J Med. 1998;339:229-234.Р2型糖尿病和冠心病: 致死/非致死MI7-年发生率) (East West Study)Р7-Year Incidence Rate of MIР4%Р19%Р20%Р45%РNondiabetic?n=1373РDiabetic?n=1059РP<0.001РP<0.001Р8Р危险因素增加对糖尿病和非糖尿病患者心血管死亡率的影响Р*Increased systolic BP, elevated total cholesterol, smoking.?MRFIT Jamerson. Am J Hypertens. 2000;13:68S-73S.Р140Р120Р100Р80Р60Р40Р20Р0Р0Р1Р2Р3РAge-Adjusted CV Death Rate ?per 10,000 Person-yearsРNondiabetic?DiabeticРNumber of Risk Factors*РPROCAM:危险因子的组合对MI发病的影响РNoneРHypertension onlyРDiabetes onlyРHypertens + diabetesРDyslipidaemiaРDyslipidaemia + hypertens +/- diabetesРPrevalence (%): 54.9 22.9 2.6 2.3 9.4 8.0РAssman G, Schulte H. Am Heart J 1988;116:1713–1724