SUZANNE HUGHES, MSN, RN: Now, the implications of this for heart disease is that having the metabolic syndrome effectively doubles one's risk of developing cardiovascular disease.
GEORGE A. BELLER, MD, MACC: And so the implications of having it is that you have to reverse these abnormalities to reduce the risk of, then, heart disease with appropriate medications and lifestyle changes.
If someone is diagnosed with the metabolic syndrome, the first intervention is lifestyle change, and we would advise patients with this problem to reduce their calories, to get on a good diet and to start exercising so they could lose that weight. Because even losing just 10% of your weight will result in a marked reduction in the risk of a heart attack.
We also put patients on medications to lower the blood pressure. We put them on medications to lower the bad cholesterol and to raise the good cholesterol. And we essentially will follow those patients carefully, and if they develop any symptoms of heart disease, we will go on with stress testing and other treatments.