Early and late clinical outcome in elderly patients after revascularization with Primary Percutaneous Coronary Intervention presenting with acute ST-elevation myocardial infarction: Results from Qassim Primary Angioplasty Services (QAPAS) registry

One year prognosis of young Middle Eastern patients undergoing percutaneous coronary interventions

“…35 This study showed a prevalence of DM of 56% in young CAD patients, higher than the 20-30% prevalence reported by others. 12,17,35 Unlike the studies that showed lower prevalence of DM, hypertension, hypercholesterolemia and lower blood levels of high-density lipoprotein cholesterol in the young compared with older patients; this study did not show such differences, a finding we share with others. 21,36 In addition to the classical cardiovascular risk factors; physical and psychological triggers and stresses can also play an important role in the incidence of CAD and ACS in young patients.…”

“…7,21,22,28,37,38 Most of published studies of outcome in young patients limited their data to the in-hospital adverse events with a mortality rate that ranged between 1.6% and 3%. 11,17 These rates were not necessarily lower than those observed among older patients, as demonstrated by the current study, where the in-hospital mortality rates in the young and older patients were not different (0.97% and 0.85%; respectively). One year death rate in young patients in our study (3.6%) was not very different from those reported by other studies, and ranged between 1% and 4.8%.…”

“…Although 45 years of age or younger is the age used more often than others; studies defined age as <35 years, <40 years, <44, <46 years, <50, and <55 years. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Young patients, in general, account for <12% of CAD or ACS patients. 21,27 Studies reported percentages as low as 2.6% and 5.8%, and as high as 8% and 11.6%; less than the 13% reported in this study.…”