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[Clinico-angiographic correlations in myocardial infarction in young people]
Insights
Younger patients experiencing myocardial infarction often face mental stress, a key risk factor. These individuals show favorable outcomes with low mortality, suggesting stress management is crucial for cardiac health.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Myocardial infarction (MI) typically affects older individuals.
- Early-onset MI in patients under forty presents unique challenges and risk factor profiles.
Purpose of the Study:
- To investigate the characteristics and outcomes of myocardial infarction in patients younger than forty.
- To identify potential risk factors, particularly mental stress, in this demographic.
Main Methods:
- Retrospective analysis of 41 patients under forty who underwent coronary angiography for myocardial infarction.
- Assessment of traditional coronary risk factors and the prevalence of mental stress.
Main Results:
- The majority of patients (97.5%) were male, predominantly in their thirties.
- Mental stress was identified as a significant factor in 75% of cases.
- Low rates of severe coronary artery disease (61% with univascular or normal angiography) and no mortality from MI were observed.
Conclusions:
- Mental stress may be a critical, underrecognized risk factor for early-onset myocardial infarction.
- Patients under forty with MI exhibit favorable short-term outcomes and low mortality.
- Further research into the role of mental stress in younger MI patients is warranted.
Abstract:
We report 41 patients with myocardial infarction who were less than forty years old and that had been studied by coronary angiography. 97.5% were male mostly in their thirties. Coronary risk factors in this group were similar to the old one; excepting for mental stress present in 75% of our patients. There was not predominant infarction site. We observed different disturbances of the cardiac rhythm but no patient had congestive heart failure or cardiogenic shock. Mortality due to the infarct itself was none .61% of the cases had univascular lesions or normal coronary angiography and only 12% had trivascular lesions. The patients with normal coronary angiography had no significant difference in the mayor coronary risk factors and in our group we found patients with arterial hypertension, hyperlipidemia, cigarette smoking and obesity. We suggest that mental stress is an important coronary risk factor; the evolution of these patients is favorable and the mortality is low as compared with previous reports.