Cardiovascular risk factors in men under60 years оld with myocardial infarction and metabolic syndrome

Abstract

Background. Cardiovascular disease (CVD), in particular, myocardial infarction (MI), causes the death of 45% of young and middle aged men. The causes and mechanisms underlying the predisposition of patients with MI and metabolic syndrome (MS) to larger scale myocardial damage are not well investigated. Purposes and tasks. To assess the frequency of observation of risk factors for СVD in men under the age of 60 years old with MI and MS to improve prevention. Materials and methods. The study included men from 19 to 60 years old with type I IM diagnosed and treated according to the standards at the time of hospitalization. Patients were divided into two age comparable groups: I - the study group, with MS - 85 patients; II - without MS - 481 people as a control group. A comparative analysis of the frequency of observation of primary and secondary Cvd risk factors. The results. It was established that the main risk factors for developing MI in men with MS are diabetes mellitus (94.1%), arterial hypertension (90.6%), physical inactivity (89.4%), obesity (86.5%), atherogenic dyslipidemia, alcohol abuse (43.5%), the medical history of chronic heart failure (35.3%) and meteosensitivity (32,9%). Conclusions. Severe violations of lipid, glucose metabolism, physical activity, regulation of blood pressure, long term obesity and chronic heart failure, as well as meteosensitivity and alcohol abuse accompany MI in men under 60 years old with MS. These patients require observation for timely verification and correction of these conditions. Difficulties in the implementation of preventive programs are associated with the need to significantly modify the patient’s lifestyle.