Abstract
Traditional risk factors can underestimate the true risk of developing atherosclerotic
cardiovascular disease. Abdominal obesity is associated with a cluster of risk factors
that include dyslipidemia, dysglycemia, and hypertension, termed metabolic syndrome
(MS). The presence of MS increases cardiovascular risk 50%-100% beyond that defined
according to traditional risk factors, and increases the risk of developing type 2
diabetes. Recognition of patients with MS is important to: (1) identify patients at
increased risk beyond that conveyed by traditional risk factors; and (2) understand
that the metabolic abnormalities associated with MS are largely reversed by measures
that reduce abdominal obesity.
Résumé
Les facteurs de risque traditionnels peuvent sous-estimer le risque réel de développement
de maladies cardiovasculaires athérosclérotiques. L’obésité abdominale est associée
à un ensemble de facteurs de risque comprenant la dyslipidémie, la dysglycémie et
l’hypertension que l’on nomme le syndrome métabolique (SM). La présence du SM accroît
le risque cardiovasculaire de 50 % à 100 % au-delà de celui qui est défini en fonction
des facteurs de risque traditionnels, et accroît le risque de développement du diabète
de type 2. La détection des patients souffrant du SM est importante pour : 1) déterminer
les patients exposés à un risque élevé au-delà du risque transmis par les facteurs
de risque traditionnels; 2) comprendre que les anomalies métaboliques associées au
SM se résorbent en grande partie grâce aux mesures qui réduisent l’obésité abdominale.
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Article info
Publication history
Published online: November 05, 2014
Accepted:
October 19,
2014
Received:
August 22,
2014
Footnotes
See article by Feldman et al., pages 601-604 of this issue.
See page 599 for disclosure information.
Identification
Copyright
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
