Prognosis in myocardial infarction of young patients: Results of a prospective registry

Wittlinger, Thomas; Seifert, Carl; Simonis, Gregor; Gerlach, Martina; Strasser, Ruth H.

doi:10.1016/j.ijcard.2019.10.037

Cited by 23 publications

(60 citation statements)

References 28 publications

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“…Some studies have reported that although the early prognosis of STEMI is good in young people, the long-term prognosis is not different from the elderly. 8 There is a study showing that long-term survival of young people with MI is better than older people. 35 While some studies show that young women who have MI have a worse prognosis than men 31 ; similar to the studies of Sweden, 36 Norway 4 and Korea, 37 in our study, there was no significant difference in one-year mortality between men and women.…”

Section: Discussionmentioning

confidence: 99%

“… 2 In some studies, it has been reported that acute STEMI has good short-term prognosis in young patients, though long-term prognosis is not. 8 Some cohort studies have investigated the factors associated with an increased risk of mortality in young women with acute myocardial infarction. However, in most of these studies, the patients with STEMI and the ones with non-ST segment elevation myocardial infarction (NSTEMI) were both included, and age group identification was not homogeneous, and these studies lacked sufficient control group.…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in clinical characteristics and in-hospital and one-year outcomes of young patients with ST-segment elevation myocardial infarction under the age of 40

Başaran

Kivanc

Dizman

et al. 2021

J Cardiovasc Thorac Res

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Introduction: Although the incidence of acute ST-segment elevation myocardial infarction (STEMI) in the elderly population has decreased in recent years, this is not the case for young people. At the same time, no reduction in hospitalization rate after STEMI was shown in young people. Clinical characteristics, risk factors, angiographic findings, in-hospital and one-year outcomes of patients under the age of 40 and their gender differences were investigated. Methods: This study has been performed retrospectively in two centers. Between January 2015 and April 2019, 212 patients aged 18-40 years with STEMI and who underwent reperfusion therapy were included. The gender differences were compared. Results: The median age of (male 176; 83.0% and female 36; 17.0%) patients included in the study was 36 (33-38) for men and 36 (34-38) for women. Chest pain was the most common complaint for both genders (96.0% vs. 94.4%; P = 0.651). While men presented more often with Killip class 1,women presented more often with Killip class 2. The anterior myocardial infarction (MI) was the most common MI type and it was higher in women than in man (P = 0.027). At one year of follow-up, the prevalence of all-cause hospitalization was 24%, MI 3.8%, coronary angiography 15.1%, cardiovascular death 1.4%, and all-cause death 0.47%, there was no gender difference. Conclusion: Anterior MI was the most common type of MI and it was more common in women than in men. Left anterior descending artery was the most common involved coronary artery. The most common risk factor is smoking. In terms of in-hospital outcome, left ventricular ejection fraction was significantly lower in women. There was no significant difference in one-year outcomes between both genders.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gender differences in clinical characteristics and in-hospital and one-year outcomes of young patients with ST-segment elevation myocardial infarction under the age of 40

Başaran

Kivanc

Dizman

et al. 2021

J Cardiovasc Thorac Res

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“…En el análisis por sexo, se puede observar que la presencia de IAM prematuro es más frecuente en el masculino [10][11][12]14,24,27 ; además en los hombres fue más frecuente encontrar antecedente de dislipidemia (59-92.1 vs. 30-82.6%) y tabaquismo (57 vs. 48%), mientras que en el sexo femenino se observó más frecuentemente diabetes mellitus (15-39 vs. 10-26%) 14,17,18,23,28 .…”

Section: Factores De Riesgounclassified

“…Esquema de las principales causas del infarto agudo de miocardio en pacientes jóvenes. cirugía de revascularización coronaria es del 1.7 al 2% de los jóvenes comparada al 9.2% de los mayores 9,10 .…”

Section: Terapia De Reperfusión Y Hallazgos Angiográficosunclassified

“…Diversos estudios han mostrado que del total de los pacientes con IAM, aproximadamente un 6 a 12% de los pacientes son menores de 45 años, el 3.4 a 5.6% son menores de 40 años y el 1.6% son menores de 35 años. A pesar de los avances en el tratamiento en los pacientes con IAM, el pronóstico en los pacientes jóvenes con IAM no se ha visto modificado significativamente, en especial la mortalidad en el sexo femenino 5,6,[9][10][11][12][13][14][15][16][17][18][19] .…”

Section: Introductionunclassified

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Infarto agudo de miocardio: revisión sobre factores de riesgo, etiología, hallazgos angiográficos y desenlaces en pacientes jóvenes

Dattoli-García¹,

Jackson-Pedroza²,

Gallardo-Grajeda³

et al. 2022

ACM

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La enfermedad cardiovascular persiste como primera causa mundial de muerte en los adultos. La población de adultos jóvenes ha cursado con cambios en el estilo de vida con el paso de las décadas, favoreciendo la aparición de ateroesclerosis en etapas más tempranas y como consecuencia la aparición de eventos cardiovasculares de manera más prematura. Se ha identificado que dentro de los factores de riesgo más comunes, la mayoría de ellos son potencialmente modificables. En comparación con adultos mayores, se ha identificado con mayor prevalencia la presencia de etiologías no ateroescleróticas de infarto de miocardio, como la disección coronaria espontánea, alteraciones anatómicas, embolia y espasmo coronarios. Los hallazgos angiográficos y desenlaces son diferentes de acuerdo con el grupo de edad y el sexo. Por dicho motivo realizamos una búsqueda en PubMed de los estudios y registros publicados para el estudio del infarto agudo de miocardio en paciente jóvenes. Con dicha información realizamos la presente revisión con el objetivo de una mejor comprensión de los hallazgos comunes en este grupo y realizar su comparación con grupos de mayor edad.

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Comparison of Prevalence, Presentation, and Prognosis of Acute Coronary Syndromes in ≤35 years, 36 – 54 years, and ≥ 55 years Patients

Qureshi

Kakouros

Fahed

et al. 2021

The American Journal of Cardiology

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Prognosis in myocardial infarction of young patients: Results of a prospective registry

Cited by 23 publications

References 28 publications

Gender differences in clinical characteristics and in-hospital and one-year outcomes of young patients with ST-segment elevation myocardial infarction under the age of 40

Gender differences in clinical characteristics and in-hospital and one-year outcomes of young patients with ST-segment elevation myocardial infarction under the age of 40

Infarto agudo de miocardio: revisión sobre factores de riesgo, etiología, hallazgos angiográficos y desenlaces en pacientes jóvenes

Comparison of Prevalence, Presentation, and Prognosis of Acute Coronary Syndromes in ≤35 years, 36 – 54 years, and ≥ 55 years Patients

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