
Metabolic Syndrome Demystified: The Silent Global Epidemic
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🎙️ Pathognomia Podcast:
Metabolic Syndrome is not just a cluster of risk factors — it’s a silent global epidemic reshaping modern healthcare. In this in-depth episode of the Pathognomia Podcast, we unpack every critical dimension of this syndrome, guided by authoritative references from Harrison’s Principles of Internal Medicine (22nd Edition) and UpToDate.
🔍 What we cover:
Definition & Evolution – how the concept of metabolic syndrome has changed over decades.
Epidemiology – global burden and special focus on prevalence in the Indian subcontinent.
Pathophysiology – insulin resistance, adipokine imbalance, inflammation, endothelial dysfunction, and even the role of the microbiome.
Diagnostic Criteria – ATP III, IDF, WHO, AHA/NHLBI — compared head-to-head with practical clinical implications.
Clinical Spectrum & Comorbidities – cardiovascular disease, T2DM, NAFLD, CKD, sleep apnea.
Investigations – essential clinical, biochemical, and imaging workup.
Management – from lifestyle modification (diet, exercise, sleep, weight loss) to pharmacotherapy (statins, antihypertensives, metformin, GLP-1RA, SGLT2i), and advanced options like bariatric surgery.
Recent Advances – genetics, precision medicine, microbiome research, emerging therapies.
Controversies – limitations in diagnostic definitions and ongoing debates.
Public Health & Prevention – challenges in screening, healthcare resource allocation, and the role of primary prevention in developing nations.
Ethical Issues – patient communication, stigma, and balancing preventive vs. pharmacological approaches.
Clinical Pearls – practical takeaways for OPD, ICU, and ward-based care.
Delivered in an engaging AI based audio content, case-based conversational style, this episode bridges classical fundamentals with cutting-edge updates, designed especially for postgraduate residents, internists, and clinicians preparing for exams.
✨ By the end of this episode, you won’t just know metabolic syndrome — you’ll know how to recognize, investigate, manage, and contextualize it in everyday clinical practice.