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ORLANDO, FLA. -- Middle-aged women should routinely be assessed for metabolic syndrome, Ana M. Schaper, Ph.D., said at an international conference on women, heart disease, and stroke.
In a retrospective study of the charts of 147 women under 65 years who were treated for MI in a rural midwestern community, Dr. Schaper found that 113 (77%) had no history of coronary disease, but many had risk factors: 70% had a history of smoking, 63% had high blood pressure, 52% had a family history of coronary artery disease, and 70% were overweight or obese.
Sufficient data were available for 80 of the women with no history of coronary disease to allow risk stratification based on National Cholesterol Education Program guidelines. Of these women, only 10% would have qualified for medical management under the guidelines, and only 18% would have qualified for therapeutic lifestyle changes, but 49% had metabolic syndrome, ...