Abstract
Metabolic syndrome is one of the grave entity coming in front in patients of acute coronary syndrome in Pakistan and other developing countries due to lack of healthy life style and other factors. It is associated with increased mortality and morbidity and to surprise, its number is increasing in young patients presenting with acute coronary syndrome.OBJECTIVE: The objective of the study is to identify the frequency of metabolic syndrome in young patients with acute coronary syndrome. DESIGN, SETTINGS AND PATIENTS: A prospective, single-center, randomized trial conducted from August 23, 2013, to February 22, 2014, of 220 patients with Acute coronary syndrome in Punjab institute of cardiology Lahore Pakistan. . Patients of either sex presented with ACS with age of 20 years up to 45 years were taken. Waist circumference was measured at the level of umbilicus .BP on right arm was taken and previous reading or antihypertensive medications were reviewed .Fasting BSL and Fasting lipid profile were sent and analyzed MAIN OUTCOME MEASURES: Patients fulfilling the criteria of metabolic syndrome were identified. RESULTS: 21.4% young patients presenting with acute coronary syndrome were diagnosed with metabolic syndrome. CONCLUSION: All obese patients of young age should be screened for metabolic syndrome as this entity is quite common and is associated with increased cardiac events. Metabolic syndrome should be diagnosed at initial level so that patients who are at high risk can be prevented to have major cardiovascular diseases. KEY WORDS: Metabolic syndrome; ACS in young patients