Cine angiographic findings in young Iraqi men with first acute myocardial infarction

al-Koubaisy, O K; Mehdi, Rommana; Arem, F D; Ahmed, Intisar

doi:10.1002/ccd.1810190205

Cited by 20 publications

(17 citation statements)

References 15 publications

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“…The percentage of young patients in the whole group of AM1 patients was related to age: 0.07% < 25 years, 1.59% 25-35 years, and 2.42% 3 6 4 0 years (p< 0.001). (34) 51 (SO) 16(16) 26 (24) 243 k 59 52 (48) 32 (37) 13 (12) 9 (8) 4 (4) 24 (22) 40 (37) 62 ( in 52% it could be considered to be a prodronial angina. because symptoms started in the preceding week.…”

Section: Demographic Datamentioning

confidence: 99%

Myocardial infarction in men aged 40 years or less: A prospective clinical‐angiographic study

Fournier

Sánchez

Quero

et al. 1996

Clinical Cardiology

122

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SummaryH~potliesis: The study W L L~ undertaken to characterize acute myocardial infarction (AMI) in young patients.Mtvhods: In all, 108 consecutive Mediterranean patients with AM1 ( 102 men and 6 women), aged I 40 years, were prospectively included in this study over aperiod of6.S years. Coronary angiography was canied out within the first month and data from these patients with normal or diseased coronary arteries were compared. Clinical features, risk factors, and inhospital and late morbidity and mortality were evaluated. Kr.sirlts: Young patients with AM1 represent 4. I % of the 2,644 patients admitted because of definite AM1 during this period. The most coninion risk factors were cigarette smoking (94.5%) and hypercholesteroleinia (48%). Location of the AM1 was anterior in 37%. inferior in 57.5%. and non-Q in 5.5%. A history of previous angina was present in 42.5%' of the patients, including all seven patients with previous myocardial infarction (6.5%). However, in 52% of the patients the anginal episodes started i n the week prior to the AMI. Inhospital mortality and motzality during a mean follow-up of 4 1 -c 13 months were 3.7 and 3.870, respectively. The KaplanMeier actuarial curve assessed on 97 of 104 survivors was 100 a d 94% at I and 5 years, respectively. Coronary arteries were angiographically normal in I7 (20%) of 87 survivors. Compared with young patients who had obstructive lesions, this subset had a lower age and fewer risk factors, reinfarction (p

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Section: Demographic Datamentioning

confidence: 99%

Myocardial infarction in men aged 40 years or less: A prospective clinical‐angiographic study

Fournier

Sánchez

Quero

et al. 1996

Clinical Cardiology

122

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“…2,3 A variety of other possible contributing factors that include substance abuse, coronary artery anomalies, hypercoagulable state, oral contraceptive use in young women have been implicated for the pathogenesis of myocardial infarction. 4,5 The clinical presentation is also different from that of older patients. In majority of cases, a sudden myocardial infarction or unstable angina is the first manifestation of CAD.…”

mentioning

confidence: 99%

Acute Myocardial Infarction in Young Adults: Study of Risk factors, Angiographic Features and Clinical Outcome

et al. 2014

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Background and aims: Acute myocardial infarction below 45 years of age constitutes a specific subset of population having different risk factors and clinical features as compared to older patients. Pattern of coronary artery involvement and clinical outcome also varies suggesting different underlying pathophysiology. Better understanding this specific problem will lead to further improvement in management. Methods: One hundred and fifteen consecutive patients diagnosed as acute myocardial infarction and were below 45 years over the period of one year were enrolled in the study. Clinical parameters, risk factors, angiographic patterns were analysed. Patients were assessed daily during hospital stay to study in-hospital outcome and complications. Results: Out of total patients studied, 64.3% were smokers, 27.8% were hypertensive, 15.65% were diabetic and 9.6% had history of dyslipidemia. There was history of recreational drug abuse in 4.3% of patients. Most patients present as ST elevation myocardial infarction (87%). Majority of patients were in Killip class I (69.5%) at presentation in emergency. Single vessel disease (58.3%) was the most common finding in coronary angiography and 7.6% patients have normal or non obstructive coronary lesions. Complications include arrhythmia (6%), cardiogenic shock (5.2%) and mortality (1.7%). Conclusions: In young acute myocardial infarction patients, smoking is the single most important modifiable risk factor. Other conventional risk factors are less strongly associated than older patients. Young patients tend to have less extensive coronary artery lesions. In few patients, presence of normal or non obstructive coronary lesions would suggest possibility of different mechanism of myocardial necrosis. Overall, these patients had favourable outcome and better prognosis. Nepalese Heart Journal | Volume 10 | No.1 | November 2013| Pages 12-16 DOI: http://dx.doi.org/10.3126/njh.v10i1.9740

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“…Þrengsli í vinstri framveggskvísl (LAD) voru algengust á báðum tímabilum sem er hliðstaett fyrri rannsókn-um. 12,23 Miðað við eldri aldurshópa virðist ungt fólk sem faer brátt hjartadrep þannig nokkuð oft hafa þá sérstöðu að hafa óstöðuga fituskellu og mikla tilhneigingu til segamyndunar þótt ekki sé um útbreiddan sjúkdóm að raeða. Hugsanlega á hin gríðarháa reykingatíðni hlut að máli en reykingar eru þekktar að því að auka líkur á segamyndun.…”

Section: Umraeðaunclassified

Brátt hjartadrep á Íslandi í fertugum og yngri 2005-2009

Magnusson¹,

Agnarsson²,

Guðnason³

et al. 2017

LBL

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Cine angiographic findings in young Iraqi men with first acute myocardial infarction

Cited by 20 publications

References 15 publications

Myocardial infarction in men aged 40 years or less: A prospective clinical‐angiographic study

Myocardial infarction in men aged 40 years or less: A prospective clinical‐angiographic study

Acute Myocardial Infarction in Young Adults: Study of Risk factors, Angiographic Features and Clinical Outcome

Brátt hjartadrep á Íslandi í fertugum og yngri 2005-2009

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