IMPACT OF METABOLIC SYNDROME ON THE OUTCOME OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE SUBMITTED TO DIFFERENT TYPES OF TREATMENT: 10-YEAR FOLLOW-UP OF THE MASS II STUDY
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | LIMA, Eduardo Gomes | |
dc.contributor.author | HUEB, Whady | |
dc.contributor.author | GARCIA, Rosa Maria Rahmi | |
dc.contributor.author | VIEIRA, Ricardo D. O. | |
dc.contributor.author | GARZILLO, Cibele Larrosa | |
dc.contributor.author | PEREIRA, Alexandre Costa | |
dc.contributor.author | HUEB, Alexandre Ciappina | |
dc.contributor.author | REZENDE, Paulo Cury | |
dc.contributor.author | CASELLA-FILHO, Antonio | |
dc.contributor.author | RAMIRES, Jose | |
dc.contributor.author | KALIL-FILHO, Roberto | |
dc.date.accessioned | 2013-10-11T21:17:44Z | |
dc.date.available | 2013-10-11T21:17:44Z | |
dc.date.issued | 2012 | |
dc.description.abstract | Background Metabolic syndrome (MetS) is understood as a condition that promotes atherosclerosis and confers an additional risk of adverse cardiovascular events in patients with coronary artery disease. The prognosis of this syndrome in this subset of patients in a long term follow up is inconclusive. Objective Evaluate the impact of metabolic syndrome on cardiac death in patients with symptomatic chronic multivessel coronary artery disease. Methods Patients randomized in MASS II study submitted to coronary artery bypass graft (CABG), angioplasty (PCI) or medical treatment (MT) were evaluated for the presence of MetS and followed prospectively for 10 years. We evaluated the incidence of overall and cardiac death in this period. Results Criteria for MetS were fulfilled in 283 patients of 583 (54%) randomized to three therapeutic strategies. The presence of MetS, was associated with an increased cardiac related death in studied population. During a 10-year follow-up, the probability cardiac mortality free survival was significantly different among patients in the 2 groups (MetS = 81,6% × non-MetS = 91,3% P=0.004). Stratifying patients with MetS by therapeutic approach we identify a statistical difference in cardiac death free survival comparing interventional approaches (CABG and PCI) to MT: 82,4% for CABG; 86,2% for PCI and 75,9% for MT (P=0,003). Besides, there is a group with best prognosis: patients without MetS submitted to CABG presenting 98,7% of patients free of cardiac death in a 10-year follow-up. Conclusion MetS confers high rates of cardiac death in patients with stable coronary artery disease irrespective of therapeutic strategy used. In patients with MetS, interventional approaches (PCI or CABG) seem to confer more protection against cardiac death in a 10-year follow-up. ACC Moderated Poster Contributions McCormick Place South, Hall A Monday, March 26, 2012, 11:00 a.m.-Noon Session Title: DES and Drugs: Decisions in Diabetics Abstract Category: 3. Chronic CAD/Stable Ischemic Heart Disease: Therapy Presentation Number: 1209-477 | |
dc.description.conferencedate | MAR 24-27, 2012 | |
dc.description.conferencelocal | Chicago - IL, EUA | |
dc.description.conferencename | 61st Annual Scientific Session and Expo of the American-College-of-Cardiology (ACC) | |
dc.description.index | MEDLINE | |
dc.identifier.citation | JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, v.59, n.13, suppl.S, p.E1535-E1535, 2012 | |
dc.identifier.issn | 0735-1097 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/2807 | |
dc.language.iso | eng | |
dc.publisher | ELSEVIER SCIENCE INC | |
dc.relation.ispartof | Journal of the American College of Cardiology | |
dc.rights | restrictedAccess | |
dc.rights.holder | Copyright ELSEVIER SCIENCE INC | |
dc.subject.wos | Cardiac & Cardiovascular Systems | |
dc.title | IMPACT OF METABOLIC SYNDROME ON THE OUTCOME OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE SUBMITTED TO DIFFERENT TYPES OF TREATMENT: 10-YEAR FOLLOW-UP OF THE MASS II STUDY | |
dc.type | conferenceObject | |
dc.type.category | meeting abstract | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.contributor.author-fmusphc | EDUARDO GOMES LIMA | |
hcfmusp.contributor.author-fmusphc | WHADY ARMINDO HUEB | |
hcfmusp.contributor.author-fmusphc | ROSA MARIA RAHMI GARCIA | |
hcfmusp.contributor.author-fmusphc | RICARDO D'OLIVEIRA VIEIRA | |
hcfmusp.contributor.author-fmusphc | CIBELE LARROSA GARZILLO | |
hcfmusp.contributor.author-fmusphc | ALEXANDRE DA COSTA PEREIRA | |
hcfmusp.contributor.author-fmusphc | ALEXANDRE CIAPPINA HUEB | |
hcfmusp.contributor.author-fmusphc | PAULO CURY REZENDE | |
hcfmusp.contributor.author-fmusphc | ANTONIO CASELLA FILHO | |
hcfmusp.contributor.author-fmusphc | JOSE ANTONIO FRANCHINI RAMIRES | |
hcfmusp.contributor.author-fmusphc | ROBERTO KALIL FILHO | |
hcfmusp.description.beginpage | E1535 | |
hcfmusp.description.endpage | E1535 | |
hcfmusp.description.issue | 13 | |
hcfmusp.description.issue | suppl S | |
hcfmusp.description.volume | 59 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.wos | WOS:000302326701646 | |
hcfmusp.publisher.city | NEW YORK | |
hcfmusp.publisher.country | USA | |
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