Acute coronary syndrome in young - A tertiary care centre experience with reference to coronary angiogram

Iragavarapu, Tammiraju; Radhakrishna, T; Babu, K Jagadish; Sanghamitra, R

doi:10.4103/jpcs.jpcs_74_18

Cited by 35 publications

(61 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other studies in the literature showed typical chest pain was found to be the most common presenting symptom in both diabetics and non-diabetics. 5 Our study has 62% of STEMI, 25% of unstable angina and 12% of NSTEMI. In the literature most of the patients had higher incidence of STEMI in young CAD which was similar to our study.…”

Section: Discussionmentioning

confidence: 81%

“…28 On comparing the age group below 40 and below 55 there is a significantly worsening LV ejection fraction when age increases that is 8% of sever LV dysfunction case when compared with 48% of LV dysfunction seen in patients below 55 years of age. 5 Mechanical and electrical complications were high in diabetic patients when compared with nondiabetics. 26 Since complications are higher in the diabetic population, overall in hospital mortality is high in diabetic CAD.…”

Section: Clinical Profile Of Young Cadmentioning

confidence: 99%

“…4 To create confusion igavarapu et al did a study in the young Indian population were it showed LAD artery was frequently involved artery but on contradicting the above statement left coronary artery is the least involved in this study. 5 To get rid of confusion on looking in to the Tamil nadu literature which was given by Narayanasamy et al, and showed significant proximal LAD stenosis was seen in 37% of patients, 27% had mid LAD lesion and 38% had distal LAD lesion. Diffuse involvement was seen in only a low percentage of patients, followed by RCA and LCX lesion.…”

Section: Coronary Involvement Of Cad In the Youngmentioning

confidence: 99%

“…4 More aggressive intervention is required in many of them for improving the morbidity and mortality. 5 At present, the arbitrary age 45 years and below is taken as cutoff age to say young in most of the studies. 6 Among the modifiable and non-modifiable risk factors diabetes mellitus stands first in the list of the modifiable risk factor for coronary artery disease.…”

Section: Introductionmentioning

confidence: 99%

“…10 Economic burden to the country as well as the family is remarkable when a young member of the family suffers from cardiac illness, so studies in this area are very important to identify them at appropriate time and to investigate them properly and to plan a management strategy according to their need to reduce the socioeconomic burden to the country. 5 India is a developing country and the burden of diabetes mellitus and heart disease are increasing. Recently only few studies were published to find the difference between Young diabetic and non-diabetic CAD.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Profile of acute coronary syndrome in young diabetics: a review

Narayanan

Hanifah

2020

Int J Adv Med

View full text Add to dashboard Cite

The clinical presentation and angiographic findings of coronary artery disease (CAD) varies from diabetic and non-diabetic patients and varies with the age of presentation. Coronary artery disease in patients below the age of 45 is a special subset. The objective of this study is to compare the clinical and angiographic profile in patients with the acute coronary syndrome (ACS) with diabetes mellitus (DM) and without DM below the age of 45 years. Clinical Presentation of coronary artery disease in young patients with various risk factors differs, which plays an important role in management strategies. This was conducted through internet search on PubMed and ProQuest database from 2000 to until 2019. Key words used for searching are acute coronary syndrome, young diabetics, and clinical, angiographic profile. An important exclusion criterion is studies which included type one diabetic patients. Totally 35 papers were reviewed. Pattern of involvement of coronary arteries as assessed by the coronary angiographic study is found to be different in younger CAD patients. Atypical clinical presentation and distinct angiographic finding are common in diabetics below the age of 45. In most of the studies single vessel disease (SVD) is the most common angiographic finding in young CAD and non-diabetics. While the diabetics showed the more diffuse pattern of double vessel disease (DVD).

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Clinical Profile Of Young Cadmentioning

confidence: 99%

Section: Coronary Involvement Of Cad In the Youngmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Profile of acute coronary syndrome in young diabetics: a review

Narayanan

Hanifah

2020

Int J Adv Med

View full text Add to dashboard Cite

show abstract

Characteristics and treatment analysis of young acute coronary syndrome patients in a tertiary care hospital: A cross‐sectional retrospective study

Murugan

Balasubramaniyan²,

Mathiyalagan

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and Aims The prevalence of acute coronary syndrome (ACS) has been rising in the younger population worldwide. To fully comprehend the effects of the condition, it is crucial to examine the evolving characteristics and treatment options. The purpose of this study is to evaluate the characteristics and treatment analysis for young ACS patients in a tertiary care setting. Methods This cross‐sectional, retrospective, single‐center study included a random sample of patients who had been hospitalized for ACS over the period of a year. We collected and analyzed data on risk factors, diagnoses, angiographic patterns, and potential treatments. Results The study involved 198 young ACS patients in total. The majority of patients (57%) had no risk factors, and the majority of them (44%) had ST‐elevation myocardial infarction (STEMI) as their diagnosis. The most common type (48%) was single‐vessel disease (SVD). Statins and antiplatelet medications made up the majority of the patients’ nonsurgical treatments (88% and 87%, respectively). A statistically significant difference exists between young and older ACS patients with gender ( p < 0.01). However, it is not clinically relevant. Conclusion Men were the majority of young ACS patients, and STEMI, SVD were more prevalent. The majority of young ACS patients had no significant risk factors. To determine the risk factors of young ACS patients, a more thorough case–control study is critically needed.

show abstract