A 45-year-old male patient has waist circumference of 105 cm. His blood examination shows fasting plasma glucose of 120mg/dL, triglyceride level of 180 mg/dL, and high-density lipid cholesterol 30 of mg/dL. He has been diagnosed as having metabolic syndrome. He is at risk of developing which of the following set of conditions?
  1. Fatty liver, hepatitis, anxiety disorder
  2. Liver cirrhosis, insomnia, cor pulmonale
  3. Cardiomyopathy, hepatitis, pancreatitis
  4. Fatty liver, gallstones and sleep apnea
Explanation
Answer: D - This patient is at risk for developing fatty liver, gallstones, and sleep apnea. The NCEP/ATP III (National Cholesterol Education Program/Adult Treatment Panel) defines metabolic syndrome as an individual with 3 or more of the following risk factors including waist circumference equal to or greater than 102 cm in men and 88 cm in women, triglyceride levels greater than 150 mg/dL, high-density lipid cholesterol less than 40 mg/dL in men and less than 50 mg/dL in women, blood pressure greater than or equal to 130/85 mmHg and fasting plasma glucose greater than 100mg/dL.
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