Abstract
Objective : To compare the Japanese diagnosis criteria for metabolic syndrome (MS) with the Gensini score of coronary arteries.
Patients : The study group comprised 379 patients who underwent coronary arteriography in Juntendo Hospital between December 2005 and June 2006.
Methods : The patients were classified into two groups designated MS and non-MS based on the Japanese diagnostic criteria for MS and the AHA diagnostic criteria for MS. Then the Gensini Score of coronary arteries was compared between the two groups. We also compared the number of diagnosis items for MS with the extent and severity of coronary arteries.
Measurement and Results : The percentages of patients diagnosed as having MS by Japanese diagnosis criteria and by AHA diagnosis criteria were 35.4% and 39.8%, respectively. The Gensini Score in the MS group diagnosed by Japanese criteria was 37.1 which was significantly higher than that in the non-MS group, 27.8 (P=0.0027). In addition, the Gensini Score of the MS group diagnosed by AHA criteria was 36.3 which was significantly larger than that of the nonMS group, 25.4 (P=0.003). The mean values of the Gensini Score in relation to the number of diagnostic items, 0, 1, 2, 3, 4, and 5 by Japanese diagnostic criteria were 12.7, 21.6, 31.4, 36.0, 39.9 and 42.0, respectively. The mean value of the Gensini score strongly correlated with the amount number of diagnostic items (P=0.0004).
Conclusions : The Japanese diagnostic criteria for MS correlated well with the Gensini Score and reflect the severity of findings on coronary arteriography.
