Initial laboratory studies in patients suspected of having metabolic syndrome should include standard chemistries to assess for hyperglycemia and renal dysfunction (eg, creatinine testing) and lipid studies to assess for hypertriglyceridemia or low HDL-C levels.
Imaging studies are not routinely indicated in the diagnosis of metabolic syndrome. However, they may be appropriate for patients with symptoms or signs of the many complications of the syndrome, including cardiovascular disease. Chest pain, dyspnea, or claudication may warrant additional testing with rest/stress ECG, ultrasonography (vascular or rest/stress echocardiography), stress SPECT, cardiac PET, or other imaging studies.
For more on the workup of metabolic syndrome, read here.
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Cite this: Romesh Khardori. Fast Five Quiz: How Much Do You Know About Metabolic Syndrome? - Medscape - Jun 27, 2018.