The Metabolic Syndrome and Mortality in an Ethnically Diverse Heart Failure Population

Saamir A. Hassan, Anita Deswal, Biykem Bozkurt, David Aguilar, Douglas L. Mann, Allison M. Pritchett

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Background: In the general population, 27% of adults have the metabolic syndrome (MetS) and is associated with increased mortality. Similar data are not available for a heart failure (HF) population. This study sought to determine the prevalence of the MetS and its effect on mortality in a HF population. Methods and Results: Patients (n = 886) discharged from the hospital with a primary diagnosis of HF were retrospectively identified. Demographic, clinical, and laboratory data were extracted by chart review. The MetS was defined according to National Cholesterol Education Program Expert Panel criteria with a body mass index ≥30 kg/m2 substituted for increased waist circumference. Mortality data were acquired by query of the National Death Index, with a median follow-up of 856 days. Data were available to evaluate for the presence or absence of MetS in 71% (n = 625). The prevalence of MetS in this cohort was 68%. MetS was most common in Hispanics (79%) compared with whites (70%) and blacks (61%, P = .003). Mortality was lower in those with MetS (44%) compared with those without (58%, unadjusted HR 0.67 [95% CI, 0.53-0.85]). In a fully adjusted model, there was still a significantly lower risk of mortality in those with MetS (adjusted HR 0.73 [95% CI, 0.56-0.94]). Conclusions: In a cohort hospitalized with HF, the prevalence of MetS exceeds that of the general population, and unlike the general population, MetS is associated with a lower mortality.

Original languageEnglish
Pages (from-to)590-595
Number of pages6
JournalJournal of Cardiac Failure
Issue number7
StatePublished - Sep 2008

Bibliographical note

Funding Information:
Supported by the Harris County Hospital District. Dr. Pritchett is the recipient of an NIH K12 RR17665 “Baylor Mentored Clinical Investigator Award.”


  • Heart failure
  • metabolic syndrome
  • mortality
  • prevalence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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