Major risk factors for developing acute coronary syndrome in young adults

Пономаренко, И. В.; Сукманова, И. А.

doi:10.17802/2306-1278-2019-8-4-72-81

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Acute coronary syndrome (ACS) predominantly occurs in individuals over 50 years of age, but this does not imply that younger adults are spared. 1 The cut-off age for young individuals varies from 40 to 55 years old. 2,3 However, several studies have suggested that the cut-off age of 45 years be defined as young with respect to ACS and have used it as the upper limit to define young age.…”

Section: Introductionmentioning

confidence: 99%

Impact of Gender on the Clinical Features, Angiographic Findings, and Outcomes of Young Patients Presented With Acute Coronary Syndrome

et al. 2022

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Objectives: Acute coronary syndrome (ACS) at a younger age is now becoming a crucial problem. This study determined the effect of gender on the clinical findings and outcomes of young patients (≤ 45 years) with ACS. Methodology: In this descriptive cross sectional study, young patients (≤45 years) who presented with ACS and underwent coronary angiography were recruited. The comparison of clinical profile, angiographic findings, in-hospital, and 90-days mortality between genders were made. Results: A total of 335 young patients with ACS were included, 80.6% of whom were men. A significant difference was found between men and women in terms of mean age: 38±6 vs. 40±5 (p=0.014), hypertension: 37.8% vs. 58.5% (p=0.002), diabetes: 17.4% vs. 35.4% (p=0.001), smoking: 50.4% vs. 6.2% (p≤0.001), use of smokeless tobacco: 14.1% vs. 4.6% (p=0.037), median time from symptom onset to first medical contact: 270 [420–165] minutes vs. 346 [499.5–240] minutes (p=0.047), ST-segment elevation myocardial infarction (STEMI) 89.6% vs. 78.5% (p=0.015), non-ST-elevation myocardial infarction (NSTEMI) 8.5% vs. 18.5% (p=0.019), and three-vessel disease (3VD) 10.7% vs. 21.5% (p=0.019), respectively. In-hospital and 90-day mortality rates were 0.4% vs. 3.1% (p=0.097) and 1.5% vs. 4.6% (p=0.136) for men and women, respectively. Conclusion: Women tended to have a higher age at presentation, more frequent traditional risk factors, late presentation after symptom onset, frequent NSTEMI, and 3VD, whereas men were distinct with frequent STEMI and higher tobacco use. In addition, women trended to have a higher in-hospital as well as short-term mortality than men did.

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Section: Introductionmentioning

confidence: 99%

Impact of Gender on the Clinical Features, Angiographic Findings, and Outcomes of Young Patients Presented With Acute Coronary Syndrome

et al. 2022

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Myocardial infarction in a young woman without cardiovascular risk factors: a case report

Nenakhova,

Bikbaeva,

Tukhbatova

et al. 2024

Russ J Cardiol

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Myocardial infarction usually occurs in people over 50 years of age, but younger patients can also be affected. The article presents a case of a young patient, 34 years old, who was admitted to the cardiology department with a diagnosis of lowrisk non-ST segment elevation acute coronary syndrome. The patient complained of anginal pain that occurred for the first time. However, she did not have typical risk factors for cardiovascular diseases. Coronary angiography showed a critical stenosis of 99% in the proximal third of the 2nd segment of the right coronary artery. A case clearly demonstrates the importance of a thorough examination of young patients with complaints of chest pain, which is often mistakenly interpreted as a pathology of other organs and systems other than the cardiovascular one. No risk factors in a patient does not guarantee low risk of myocardial infarction, and a detailed examination of the patient will help to avoid underdiagnosis of acute coronary syndrome.

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Major risk factors for developing acute coronary syndrome in young adults

Cited by 2 publications

References 22 publications

Impact of Gender on the Clinical Features, Angiographic Findings, and Outcomes of Young Patients Presented With Acute Coronary Syndrome

Impact of Gender on the Clinical Features, Angiographic Findings, and Outcomes of Young Patients Presented With Acute Coronary Syndrome

Myocardial infarction in a young woman without cardiovascular risk factors: a case report

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