TY - CHAP M1 - Book, Section TI - THE METABOLIC SYNDROME A1 - Via, Michael A. A1 - Mechanick, Jeffrey I. A2 - Fuster, Valentin A2 - Harrington, Robert A. A2 - Narula, Jagat A2 - Eapen, Zubin J. Y1 - 2017 N1 - T2 - Hurst's The Heart, 14e AB - SummaryThis chapter discusses the pathogenesis, diagnosis and therapeutic strategies for metabolic syndrome, which can generally be defined as the coexistence of increased adiposity/obesity, hypertension, dyslipidemia (high serum triglyceride and/or low serum HDL levels), and/or hyperglycemia/insulin resistance. Various definitions of this syndrome specify the requirement of at least 2-3 of these factors, all of which substantially increase the risk of atherosclerotic disease. A large proportion of the global adult population (20-35%, depending on the definition used) are thought to have metabolic syndrome. Lifestyle, particularly sedentary behaviour, has a dominant role in the pathogenesis of this syndrome, but environmental and biological factors also contribute (see accompanying Hurst's Central Illustration). Therapeutic strategies, which should be applied early, normally involve a combination of lifestyle as well as pharmacological and/or procedural interventions. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1191186518 ER -