Abstract:
Metabolic Syndrome (MS) is a complex and chronic metabolism disturbance. Obesity (OB), Dyslipidemia (DL), Systemic Arterial Hypertension (SAH), Atherosclerotic Microvascular Inflammation (AMI) and Hyperglicemia (HG) in different arrangements, at the same time, is a very difficult combination to interpret. Sometimes the interpretation is according to the expertise or the knowledge of the doctors instead of understanding the real clinical situation of the patients. The Metabolic Map (MM) is a semiological and clinical form of assessment that analyses each component of the MS according to the photo below. There are five targets with three different zones inside; green, yellow, and red. Body Mass Index (BMI); Cholesterol (Ch), Triglycerides (Tg); Systolic (SBP) and Diastolic (DBP) Blood Pressure; Uric Acid (UA), High Sensibility Reactive C Protein (Hs-RcP), Fibrinogen (Fb); Fast Glucose (FG), Glycated Hemoglobin (GH) and Insulin Level (IL) are used. For BMI, we classified as a green zone values between 25-30 Kg/m2; yellow 31-35 Kg/m2 and red more than 35 Kg/m2. For DL, a green zone means normal values for Ch and Tg; yellow if one of them is high and red if both are high. For SAH, green zone if both values are normal; yellow if one is high and red if both are high. For AMI, green zone if UA or Hs-RcP or Fb is high; yellow zone if two of them are high and red if all of them are high. For HG, green zone if FG and GH are normal and IL is high; yellow if FG and IL are normal and GH is high; and red if all of them are high. Patients can have an individual clinical and laboratory presentation in each target. As an example: in one moment there is a red zone for OB, yellow for DL, green for SAH, yellow for AMI and red for HG. It shows that attention must be given to OB and HG at first. Another example: yellow zone for OB, red for DL, yellow for SAH, green for AMI and yellow for HG. Now attention must be given to DL at first. Patients can show huge different forms of clinical presentation of MS. The MM helps to understand the true clinical evolution and the nutritional program, physical exercises, medications and surgery plans must be prescribed in a customized manner.
