open access

Vol 16, No 4 (2009)
Review articles
Published online: 2009-05-12
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Myocardial infarction in young people

Ewa Trzos, Barbara Uznańska, Tomasz Rechciński, Maria Krzemińska-Pakuła, Magdalena Bugała, Małgorzata Kurpesa
Cardiol J 2009;16(4):307-311.

open access

Vol 16, No 4 (2009)
Review articles
Published online: 2009-05-12

Abstract

An estimated 6 to 10% of myocardial infarctions occur in patients under the age of 45. Usually this applies to men, but an increasing prevalence is being observed among women. Atherosclerosis, often one vessel disease, is the main cause. The presence of classic risk factors affects the dynamics of coronary artery disease: the strongest risk factor is smoking, regardless of gender. Environmental influence is also possible. No atherosclerosis is found in 20% of young patients. In such cases, the most frequent mechanisms of ischemia are: coronary artery embolism (5%), thrombosis (5%), anomalies (4%) and inflammation or spasm of the vessel. Age is an independent prognostic factor. Thus the clinical outcome after myocardial infarction is better in younger than in older patients.

Abstract

An estimated 6 to 10% of myocardial infarctions occur in patients under the age of 45. Usually this applies to men, but an increasing prevalence is being observed among women. Atherosclerosis, often one vessel disease, is the main cause. The presence of classic risk factors affects the dynamics of coronary artery disease: the strongest risk factor is smoking, regardless of gender. Environmental influence is also possible. No atherosclerosis is found in 20% of young patients. In such cases, the most frequent mechanisms of ischemia are: coronary artery embolism (5%), thrombosis (5%), anomalies (4%) and inflammation or spasm of the vessel. Age is an independent prognostic factor. Thus the clinical outcome after myocardial infarction is better in younger than in older patients.
Get Citation

Keywords

myocardial infarction; young patients; risk factors

About this article
Title

Myocardial infarction in young people

Journal

Cardiology Journal

Issue

Vol 16, No 4 (2009)

Pages

307-311

Published online

2009-05-12

Bibliographic record

Cardiol J 2009;16(4):307-311.

Keywords

myocardial infarction
young patients
risk factors

Authors

Ewa Trzos
Barbara Uznańska
Tomasz Rechciński
Maria Krzemińska-Pakuła
Magdalena Bugała
Małgorzata Kurpesa

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