Coronary lesion type, location, and characteristics of acute ST elevation myocardial infarction in young adults under 35 years of age

Abstract

We observed risk factors such as family history, smoking, and low high-density lipoprotein cholesterol levels in young adults. Acute anterior STEMI owing to occluded left anterior descending artery was more frequent. Coronary atherosclerosis was characterized by higher presence of type B and proximal lesions. The handling selection was percutaneous coronary intervention in more than half of the patients.

Demographic and angiographic profile in premature cases of acute coronary syndrome: analysis of 820 young patients from South India

“…A study by Colkesen et al involving young STEMI patients with ≤35 year age revealed that LAD was the most common vessel involved (11). Angiographic profile in the present study also revealed that LAD was the most commonly involved vessel, followed by RCA, LCX, and LMCA.…”

“…Although previous studies have put forward data on coronary risk factors (6-9), long-term outcome of MI survivors (12,13), and extent of angiographic coronary lesions (9)(10)(11)14), we believe that the available data was not sufficient to provide adequate information about angiographic profile based on the type of acute coronary syndrome. In this regard, the present study provides valuable insights regarding the similarities and differences in coronary risk factors and angiographic characteristics in STEMI and NSTEMI/UA patients.…”

Features of ischemic heart disease and myocardial revascularization in patients younger than 40 years

“…Различия частоты ОКС у молодых людей обусловлены вариациями возраста боль-ных: до 30, до 35, до 40 и до 45 лет [2, 11,15,18,19,24,26,33,43,47,53,55,56,62].…”

“…В клинике ОКС STEMI передней локализации представлена в более 67%, NSTEMI -в 20%, нестабильная стенокардия -в 14% [13,15,16,18,26,43,47,50,53,58].…”

“…Доминирующие предикторы риска ОКС у молодых мужчин: курение больше 1 пачки/день (77%), отягощен-ный семейный анамнез ИБС (55%), дислипидемия (44%), гиподинамия, избыточная масса тела/ожирение (39/20%), амфетамины/наркотики; стрессы/подростковая агрессия [7,8,13,18,26,43,47,50,58,61]. У молодых женщин к основным предикторам относят: ожирение, метаболиче-ский синдром, аутоиммунные/системные заболевания, прием контрацептивов, спонтанная диссекция КА при родах/в раннем послеродовом периоде.…”