Metabolic Syndrome and Early-Onset Coronary Artery Disease
Is the Whole Greater Than Its Parts?
Carlos Iribarren, MD, MPH, PhD*, ,*,
Alan S. Go, MD*, ,
Gail Husson, MPH, Med*,
Stephen Sidney, MD, MPH*,
Joan M. Fair, ANP, PhD ,
Thomas Quertermous, MD ,
Mark A. Hlatky, MD ,|| and
Stephen P. Fortmann, MD
* Kaiser Permanente Division of Research, Oakland, California
Departments of Epidemiology, Biostatistics, and Medicine, University of California, San Francisco, California
Stanford Prevention Research Center
Division of Cardiovascular Medicine
|| Department of Health Research and Policy, Stanford University School of Medicine, Stanford, California

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Figure 1 Early-onset coronary artery disease (CAD) definition criteria in the ADVANCE Study. CABG = coronary artery bypass graft; CK-MB = creatine kinase-MB fraction; CPT = current procedural terminology; EKG = electrocardiogram; ICD-9 = ninth revision of the International Classification of Diseases; MD = metabolic syndrome; PCI = percutaneous coronary intervention.
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Figure 2 Schematic representation of the recruitment process for early-onset coronary artery disease subjects in the ADVANCE study. PCP = primary care provider. *Numbers do not add up because electronic exclusions are not mutually exclusive.
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