Acute myocardial infarction in a male patient with metabolic syndrome and obstructive sleep apnea syndrome

Czech version

Authors: Jan Peterka; Hana Rosolová
Authors‘ workplace: II. interní klinika UK, LF v Plzni a Fakultní nemocnice Plzeň
Published in: Vnitř Lék 2020; 66(1): 44-48
Category: Case Report

Overview

A casuistic of a male, obese smoker, to whom the syndrom of obstructive sleep apnea (OSA) was diagnosed at his age of 32 years, was suffering from acute myocardial infarction at his 50 years. The patient had fulfilled all criteria of metabolic syndrome during time of acute heart attack: visceral obesity, arterial hypertension, mixed dyslipidemia, and type 2 diabetes mellitus. He was never examined by routine screening and then not treated. This patient ranked to the very high total cardiovascular risk subjects before the acute event occured. The growing evidence suggests that OSA may contribute to the metabolic derangements that characterized the metabolic syndrome and high cardiovascular risk. It follows that after syndrome OSA determination, standard risk factors for metabolic syndrome and atherosclerotic cardiovascular disease should be asessed and start preventive lifestyle recommendations and treatment.

Keywords:

myocardial infarction – obstructive sleep apnea syndrome – metabolic syndrome

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