January 31, 2012BMC Cardiovascular DisordersOpen Access

Metabolic syndrome was present in 67.9% by IDF criteria and 64.9% by NHLBI/AHA criteria, with an overall agreement of 81.5% (Kappa 0.59, p < 0.001).

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Why the study?

Does the NHLBI/AHA definition of metabolic syndrome identify a different cardiovascular risk profile compared to the IDF definition in patients with symptomatic carotid disease?

Population

644 consecutive patients with symptomatic carotid disease, referred to a vascular surgery clinic in…

Comparison

Diagnosis of metabolic syndrome using NHLBI/AHA… vs Diagnosis of metabolic syndrome using IDF criteria

Design

Cross-sectional

Authors

MMMiloš Maksimović HVHristina Vlajinac DRDjordje Radak

Discussion

Member takes

Overview

Moderate agreement between IDF and NHLBI/AHA criteria in carotid disease; leaves open which better stratifies cardiovascular risk.

Structured PICO

Does the NHLBI/AHA definition of metabolic syndrome identify a different cardiovascular risk profile compared to the IDF definition in patients with symptomatic carotid disease?

Population

644 consecutive patients with symptomatic carotid disease (symptoms of cerebral ischemia and carotid stenosis ≥50% according to NASCET criteria), referred to a vascular surgery clinic in Belgrade, Serbia.

Intervention

Diagnosis of metabolic syndrome using NHLBI/AHA criteria

Comparator

Diagnosis of metabolic syndrome using IDF criteria

Outcome

Agreement between NHLBI/AHA and IDF definitions of metabolic syndrome and frequency of cardiovascular risk factors

In patients with symptomatic carotid disease, the NHLBI/AHA criteria may be more suitable for diagnosing metabolic syndrome than IDF criteria, as the IDF's strict central obesity requirement misses some patients with other significant cardiovascular risk factors.

Limitations

Cross-sectional design
Lack of follow-up to test the prognostic value of the definitions

Cite This Study

Maksimović et al. (2012) studied this question.

synapsesocial.com/papers/6a7cc1d9c2129568296ee19b https://doi.org/10.1186/1471-2261-12-2

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January 31, 2012BMC Cardiovascular DisordersOpen Access

Metabolic syndrome was present in 67.9% by IDF criteria and 64.9% by NHLBI/AHA criteria, with an overall agreement of 81.5% (Kappa 0.59, p < 0.001).

View Full Paper

Ask AI

Bookmark

Why the study?

Does the NHLBI/AHA definition of metabolic syndrome identify a different cardiovascular risk profile compared to the IDF definition in patients with symptomatic carotid disease?

Population

644 consecutive patients with symptomatic carotid disease, referred to a vascular surgery clinic in…

Comparison

Diagnosis of metabolic syndrome using NHLBI/AHA… vs Diagnosis of metabolic syndrome using IDF criteria

Design

Cross-sectional

Authors

MMMiloš Maksimović HVHristina Vlajinac DRDjordje Radak

Discussion

Member takes

Overview

Moderate agreement between IDF and NHLBI/AHA criteria in carotid disease; leaves open which better stratifies cardiovascular risk.

Structured PICO

Does the NHLBI/AHA definition of metabolic syndrome identify a different cardiovascular risk profile compared to the IDF definition in patients with symptomatic carotid disease?

Population

Intervention

Diagnosis of metabolic syndrome using NHLBI/AHA criteria

Comparator

Diagnosis of metabolic syndrome using IDF criteria

Outcome

Agreement between NHLBI/AHA and IDF definitions of metabolic syndrome and frequency of cardiovascular risk factors

Limitations

Cross-sectional design
Lack of follow-up to test the prognostic value of the definitions

Cite This Study

Maksimović et al. (2012) studied this question.

synapsesocial.com/papers/6a7cc1d9c2129568296ee19b https://doi.org/10.1186/1471-2261-12-2

View Full Paper

Ask AI

Bookmark