RESUMO
In a cross-sectional survey conducted in 2005, we determined the prevalence metabolic syndrome [MetS] and other atherosclerotic cardiovascular disease risk factors among a sample of 342 Palestinians >/= 20 years in East Jerusalem. Participants were interviewed and anthropometric measurements and blood testing were done. MetS was found in 115 [33.6%] participants, with no significant difference between the sexes. The prevalence of obesity, diabetes and other cardiovascular risk factors was also high, with central obesity and obesity [BMI >/= 30 kg/m[2]] being significantly higher in women [P < 0.01]. With the exception of low-density lipoprotein cholesterol and haemoglobin, there was a significantly higher prevalence of atherosclerotic markers among the MetS group
Assuntos
Feminino , Humanos , Masculino , Doenças Cardiovasculares/etiologia , Fatores de Risco , Estudos Transversais , Prevalência , Antropometria , Pressão Sanguínea , Obesidade/epidemiologia , Diabetes Mellitus/epidemiologia , Lipídeos/sangue , Distribuição por SexoRESUMO
Thirty patients who died after cardiopulmonary bypass for valve replacement were pathologically examined. Four major causes of death were encountered on postmortem examination, including congestive heart failure [43.4%], infective endocarditis [33.3%], prosthetic complications [16.7%] and bleeding [6.7%]. The time of death after operation varied from 2 weeks to 2.5 years according to myocardial condition and period of preservation during operation. All cases had cardiomegaly and brown induration of the lungs. Patients who died from congestive heart failure had chronic venous congestion of the liver 11 cases [84.6%], spleen 9 cases [69.2%] and kidneys in 6 cases [46.1%]. Splenomegaly and large vegetations [1.3-3 cm] were found in all patients who died from infective endocarditis. Other complications seen in patients who had infective endocarditis included pulmonary infarction [10%], focal glomerulonephritis [33.3%], proliferative glomerulonephritis [10%] and cerebral hemorrhage [20%]. It is important to emphasize that surgery for rheumatic valvular affection should be performed at an early stage before irreversible myocardial damage occurs in order to avoid a high mortality rate