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Published online: 2021-08-31
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Acute myocardial infarction in young patients

Wojciech Zasada, Beata Bobrowska, Krzysztof Plens, Artur Dziewierz, Zbigniew Siudak, Andrzej Surdacki, Dariusz Dudek, Stanisław Bartuś
DOI: 10.33963/KP.a2021.0099
·
Pubmed: 34472075

open access

Online first
Original article
Published online: 2021-08-31

Abstract

Background: Acute myocardial infarction (AMI) is an incredibly destructive disease when it occurs in a young patient. Thus the investigation of the disease presentation and treatment options seem to be particularly important in young patients with AMI.

Aims: The study objective was to investigate the differences between young and older patients diagnosed with AMI in terms of clinical characteristics and treatment strategies.

Methods: The patient data come from the National Registry of Procedures of Invasive Cardiology (ORPKI, Ogólnopolski Rejestr Procedur Kardiologii Inwazyjnej). Between 2014 and 2017, the data of more than 230 000 patients with a diagnosis of AMI were collected in that registry. The young patients were defined as under 40 years old.

Results: Young patients with AMI compared with older patients with AMI were more often men (86.3% vs 65.8%; P <0.001) with higher body weight (mean 85.9 vs 79.7 kg; P <0.001). Young patients with AMI were more often diagnosed with ST-segment elevation myocardial infarction (STEMI; 62.0% vs 50.0%; P <0.001). Moreover, they had more frequently non-significant stenosis in coronary arteries diagnosed (14.4% vs 6.8%; P <0.001). The left anterior descending artery was more frequent an infarct-related artery in young patients (51.3% vs 36.3%; P <0.001). Bioresorbable vascular scaffolds were more commonly implanted in young patients with AMI than in older ones (5.6% vs 0.9%; P  <0.001).

Conclusions: Smoking is the most common risk factor in young adults. The relative number of AMI in young patients is growing.

Abstract

Background: Acute myocardial infarction (AMI) is an incredibly destructive disease when it occurs in a young patient. Thus the investigation of the disease presentation and treatment options seem to be particularly important in young patients with AMI.

Aims: The study objective was to investigate the differences between young and older patients diagnosed with AMI in terms of clinical characteristics and treatment strategies.

Methods: The patient data come from the National Registry of Procedures of Invasive Cardiology (ORPKI, Ogólnopolski Rejestr Procedur Kardiologii Inwazyjnej). Between 2014 and 2017, the data of more than 230 000 patients with a diagnosis of AMI were collected in that registry. The young patients were defined as under 40 years old.

Results: Young patients with AMI compared with older patients with AMI were more often men (86.3% vs 65.8%; P <0.001) with higher body weight (mean 85.9 vs 79.7 kg; P <0.001). Young patients with AMI were more often diagnosed with ST-segment elevation myocardial infarction (STEMI; 62.0% vs 50.0%; P <0.001). Moreover, they had more frequently non-significant stenosis in coronary arteries diagnosed (14.4% vs 6.8%; P <0.001). The left anterior descending artery was more frequent an infarct-related artery in young patients (51.3% vs 36.3%; P <0.001). Bioresorbable vascular scaffolds were more commonly implanted in young patients with AMI than in older ones (5.6% vs 0.9%; P  <0.001).

Conclusions: Smoking is the most common risk factor in young adults. The relative number of AMI in young patients is growing.

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Keywords

acute myocardial infarction; angiography; coronary artery disease; percutaneous coronary intervention

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About this article
Title

Acute myocardial infarction in young patients

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Online first

Article type

Original article

Published online

2021-08-31

DOI

10.33963/KP.a2021.0099

Pubmed

34472075

Keywords

acute myocardial infarction
angiography
coronary artery disease
percutaneous coronary intervention

Authors

Wojciech Zasada
Beata Bobrowska
Krzysztof Plens
Artur Dziewierz
Zbigniew Siudak
Andrzej Surdacki
Dariusz Dudek
Stanisław Bartuś

References (13)
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