关于代谢综合征(MS)及其与吸烟的累加效应对急性心肌梗死(AMI)后继发心脏事件的临床影响,相关信息甚少。为了探讨M S是否能够独立预测心脏事件(心脏性死亡以及非致死性再梗死)并评价MS与吸烟的累加效应对AMI后心脏事件的影响,对大阪急性冠状动脉功能不全研究(OACIS)中的3858例AMI存活者进行研究。在中位时间725d的随访期内,MS患者的心脏事件发生率较无MS者高(P=0.021)。 There is very little information about the clinical impact of metabolic syndrome (MS) and its cumulative effect with smoking on the secondary cardiac events after acute myocardial infarction (AMI). To investigate whether MS independently predicts cardiac events (cardiac and nonfatal reinfarction) and assesses the effect of additive effects of MS and smoking on post-AMI cardiac events, 3858 in the Osaka Acute Coronary Insufficiency Study (OACIS) Cases of AMI survivors were studied. During a median follow-up of 725 days, the incidence of cardiac events was higher in MS patients than in those without MS (P = 0.021).