Abstract
Abstract 11968: The Pattern of Cardiovascular Risk Factors in Patients Under 40 Years Presenting With ST-Elevation Myocardial Infarction
Circulation (New York, N.Y.), Vol.138(Suppl_1 Suppl 1), pp.A11968-A11968
11/06/2018
Abstract
IntroductionCoronary artery disease (CAD) is the leading cause of death in the world. Most of the cardiovascular risk factors studied are studied in older patients and there are a few data on the risk factors that may cause myocardial infarction in patients less than 40 years of age.Aim of the workThe purpose of this worldwide study was to determine the pattern of cardiovascular risk factors in patients who are under 40 years of age presenting with STEMI.MethodsA descriptive study of patients under 40 years of age and over 18 years of age who were admitted by acute STEMI between the period of January 2013 to December 2016 to determine the cardiovascular risk factors as well as the initial laboratory data and the location of STEMI. The study was conducted in 27 tertiary care hospitals in 7 countries.ResultsOf the 547 patients evaluated, 322 patients were males (58.9%) with a mean age of 32.86 years. Anterior STEMI was encountered in 250 patients (45.7%), inferior STEMI in 201 patients (36.7%) and other types of STEMI represented 17.6% only.Regarding risk factors, 276 patients were smokers (50.5%), 188 patients had a positive family history of coronary artery disease (CAD) (34.4%), 142 patients were hypertensive (26%), 111 patients were dyslipidemics (20.3%), 51 patients were diabetics (9.3%), 49 patients were alcoholics (9%), 21 patients had chronic renal impairment at presentation (3.8%) and 19 patients were already diagnosed by a thrombophilic disorder (3.5%).Regarding the laboratory data, the mean hemoglobin level was 13.5 g/dl, mean creatinine level was 0.95 mg/dl, mean total cholesterol level was 188.5 mg/dl, mean low density lipoprotein (LDL) level was 101.1 mg/dl, mean triglycerides level was 155.4 mg/dl and mean hemoglobin A1C (HbA1C) level was 6.51%.498 patients (91%) underwent primary percutaneous coronary intervention (PPCI) while 49 patients (9%) received thrombolytic therapy. The in-hospital mortality was only 2% (11 patients).ConclusionsIn young patients under 40 years of age presenting with STEMI, the most common cardiovascular risk factors were smoking, positive family history of CAD, hypertension and dyslipidemia. Also, the in-hospital mortality was found to be 2% only.
Details
- Title: Subtitle
- Abstract 11968: The Pattern of Cardiovascular Risk Factors in Patients Under 40 Years Presenting With ST-Elevation Myocardial Infarction
- Creators
- Abdallah Almaghraby - Alexandria UniversityYehia Saleh - Michigan State UniversityAyla Abdullah - Doğuş UniversityAli Arrash - Public Medicine, Tehran Univ, Tehran, Iran, Islamic Republic ofEun-Kyung Jin - University of SeoulPaolo Sabbatini - University of BolognaFrancisco Jesus - Internal Medicine, Mexico city General Hosp, Mexico City, MexicoMuhammad Almuttair - Internal Medicine, Gizan Med Cntr, Gizan, Saudi ArabiaOla Abdelkarim - Alexandria UniversityMahmoud Abdelnaby - Alexandria UniversityHaitham Badran - Ain Shams University
- Resource Type
- Abstract
- Publication Details
- Circulation (New York, N.Y.), Vol.138(Suppl_1 Suppl 1), pp.A11968-A11968
- Publisher
- by the American College of Cardiology Foundation and the American Heart Association, Inc
- ISSN
- 0009-7322
- eISSN
- 1524-4539
- Language
- English
- Date published
- 11/06/2018
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984757272402771
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