Epidemiological profile and management patterns of acute myocardial infarction in very young patients from a tertiary care center.
Adolescent
Adult
Aged
Disease Management
Female
Follow-Up Studies
Humans
Incidence
India
/ epidemiology
Male
Middle Aged
Myocardial Infarction
/ epidemiology
Retrospective Studies
Risk Assessment
/ methods
Risk Factors
Survival Rate
/ trends
Tertiary Care Centers
/ statistics & numerical data
Young Adult
Acute myocardial infarction
Epidemiology
Management
Risk factors
Very young adults
Journal
Indian heart journal
ISSN: 2213-3763
Titre abrégé: Indian Heart J
Pays: India
ID NLM: 0374675
Informations de publication
Date de publication:
Historique:
received:
11
07
2019
revised:
18
02
2020
accepted:
12
03
2020
entrez:
20
5
2020
pubmed:
20
5
2020
medline:
21
1
2021
Statut:
ppublish
Résumé
Cardiovascular disease is the leading cause of death in India. Previously it was thought to be a disease of the elderly but now an epidemiological transition is being seen with increasing incidence in the very young adults as well. Such patterns are not well studied in the South East Asian population. To study the epidemiological profile of very young (≤35 years) adults presenting with an acute myocardial infarction (AMI) in comparison with an older cohort. The present study included all patients presenting with AMI to the emergency or to the out-patient department of the G B Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi between January 2014 and October 2015. A total of 102 subjects ≤35 years with AMI comprised the study subjects (cases) and were compared with 104 subjects >35 years old with AMI (Controls). Most of the very young AMI patients presented with an anterior wall ST segment elevation myocardial infarction, a stable hemodynamic profile, single vessel disease and better left ventricular ejection fraction as compared with controls. Most of the patients were from urban and semi-urban areas, middle and lower middle socioeconomic status and were smokers but lacked other traditional risk factors.
Sections du résumé
BACKGROUND
BACKGROUND
Cardiovascular disease is the leading cause of death in India. Previously it was thought to be a disease of the elderly but now an epidemiological transition is being seen with increasing incidence in the very young adults as well. Such patterns are not well studied in the South East Asian population.
OBJECTIVE
OBJECTIVE
To study the epidemiological profile of very young (≤35 years) adults presenting with an acute myocardial infarction (AMI) in comparison with an older cohort.
METHODOLOGY
METHODS
The present study included all patients presenting with AMI to the emergency or to the out-patient department of the G B Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi between January 2014 and October 2015. A total of 102 subjects ≤35 years with AMI comprised the study subjects (cases) and were compared with 104 subjects >35 years old with AMI (Controls).
RESULTS & CONCLUSION
CONCLUSIONS
Most of the very young AMI patients presented with an anterior wall ST segment elevation myocardial infarction, a stable hemodynamic profile, single vessel disease and better left ventricular ejection fraction as compared with controls. Most of the patients were from urban and semi-urban areas, middle and lower middle socioeconomic status and were smokers but lacked other traditional risk factors.
Identifiants
pubmed: 32423558
pii: S0019-4832(20)30045-6
doi: 10.1016/j.ihj.2020.03.003
pmc: PMC7231868
pii:
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
32-39Informations de copyright
Copyright © 2020 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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