Introduction to the metabolic syndrome problematics

Česká verzia

Authors: M. Souček
Authors place of work: II. interní klinika Lékařské fakulty MU a FN u sv. Anny, Brno, přednosta doc. MUDr. Miroslav Souček, CSc.
Published in the journal: Vnitř Lék 2005; 51(1): 48-52
Category: Reviews

Summary

Metabolic syndrome is easily diagnosable but in each individual patient it should be evaluated in all its relationships. Metabolic syndrome is determined according to the presence of hypertension, obesity, dyslipidemia and the presence of type 2 diabetes mellitus. In addition to the combination of basic clinical disorders, we can find some other metabolic abnormalities, indicating the seriousness of pathophysiologic changes caused by the syndrome. In recent years, the syndrome was widened by other metabolic and fibronolysis disorders. The causes of metabolic syndrome remain unclear. Landsberg et al. determined as a primary pathogenetic mechanism insulinresistance, Julius et al. consider increased activity of central sympethetic nervous system to be crucial. Prevalence ranges from 20 to 40% according to diagnostic criteria. The clinical importance of metabolic syndrome lies in his role in aterosclerosis development. Therefore it is clear that metabolic syndrome therapy should be a complex one, based on non-pharmacologic measures and in majority of cases supplemented by pharmacoltherapy considering all the aspects of metabolic syndrome, in order to achieve a really long-term cardiovasular benefit.

Key words:
metabolic syndrome – insulinresistance – dyslipidemy – hypertension – obesity – cardiovascular diseases

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