Risk factors, prognosis, and secondary prevention of myocardial infarction in young adults in Poland

Clinical characteristics, and in-hospital and long-term outcomes of stable angina treatment in patients below and over 40 years of age (from the PRESAGE registry)

“…Due to the paucity of studies concerning young patients with SA, we have to extrapolate our data mainly to the ACS population. The most common risk factors for young adults with ACS or MI include smoking, hypercholesterolaemia, PFH of premature CAD, and hypertension [3,4,6,21,22]. In our study, hypercholesterolaemia, smoking, and hypertension (in that order) were the most frequent risk factors.…”

“…By and large, the first manifestation of coronary artery disease (CAD) at a younger age is acute coronary syndrome (ACS) or sudden cardiac death (SCD) [1]. Patients under 40 years of age represent 2% to 10% of all patients with ACS [2][3][4][5][6][7][8]. The incidence of SA among young patients is an issue often neglected both in the registries and in the available literature [5,[9][10][11].…”

Acute Coronary Disease in very Young Patient: A Reality!

“…The risk factors associated with ST-segment elevation myocardial infarction (STEMI) in young adults can be different as compared with elderly population. 1,2 A study conducted in Switzerland with 27 patients younger than 30 years old with previous STEMI revealed that history of smoking, dyslipidemia and family history of premature cardiovascular diseases (< 55 years old for men and < 65 years old for women) were the most common factors in this group. 1 A cohort study called AFIJI (Appraisal of risk Factors in young Ischemic patients Justifying aggressive Intervention) investigated 880 patients under 45 years old (average age of 40 years) that experienced an acute coronary syndrome associated with obstructive causes.…”

“…1 When young patients are analyzed, a great proportion is free from significant atherosclerotic lesions which indicates that different mechanisms can lead to coronary obstruction. 2 Nonatherosclerotic coronary disease, hypercoagulable states and chemical substance abuse could also trigger an ischemic event. 2 Also, the diagnosis of coronary dissection is more common in young women than men, 4 and the artery most affected by dissection is the anterior descending artery.…”

Treatment and outcomes of patients under 40 years of age with acute myocardial infarction in Poland in 2009-2013 (analysis from PL-ACS Registry)

“…Patients a positive family history of premature coronary artery disease, and hypertension. [7][8][9][10][12][13][14][15] In our study, the most common risk factors over the years consistently included smoking, hypertension, and hypercholesterolemia. In earlier studies, smoking was reported in more than 90% of younger 16,17 and in 40% of older patients with AMI.…”