Clinical Presentation and In-Hospital Outcomes of Acute Myocardial Infarction in Young Patients

High Risk of Post-Myocardial Infarction Cardiac Arrest in Young Adults

“…However, the findings of Ando et al 3 must be viewed in consideration of several limitations. First are the potential selection biases inherent to all registry data.…”

“…In this issue of JACC: Asia , Ando et al 3 report a large retrospective cohort study focused on evaluating in-hospital adverse outcomes and associated factors in young patients with AMI in Japan who underwent PCI.…”

“…Thus, Ando et al 3 show that only a small proportion of patients with AMI requiring PCI are young, and their in-hospital mortality is much lower than in older patients. However, their findings are alarming: CPA at presentation is more likely to occur in younger patients.…”

“…The main strengths of the work by Ando et al 3 include a large database with a sizeable number of patients <50 years of age, and a comprehensive PCI registry inclusive of patients from all public and private hospitals in Japan with a strong quality assurance program.…”

“… 15 Finally, the retrospective observational nature of the study precludes causality in all the relationships. Nevertheless, the analysis by Ando et al 3 provides valuable insights for future research and has public health implications.…”