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Acute myocardial infarction in young patients
Wojciech Zasada1,2, Beata Bobrowska3, Krzysztof Plens4
1KCRI, Kraków, Poland. zasada.wojciech@gmail.com.
Kardiologia Polska
|September 2, 2021
Summary
Acute myocardial infarction (AMI) is increasingly affecting younger individuals, with smoking being a primary risk factor. The incidence of AMI in young patients is on the rise, necessitating further investigation into this demographic.
Area of Science:
- Cardiology
- Public Health
Background:
- Acute myocardial infarction (AMI) poses a significant threat to young patients.
- Understanding the unique presentation and treatment of AMI in younger demographics is crucial.
Purpose of the Study:
- To compare clinical characteristics and treatment strategies of young (under 40) versus older patients diagnosed with AMI.
- To identify trends in AMI incidence among young adults.
Main Methods:
- Utilized data from the National Registry of Procedures of Invasive Cardiology (ORPKI) between 2014 and 2017.
- Analyzed over 230,000 patient records, defining young patients as under 40 years old.
Main Results:
- Young AMI patients were predominantly male, had higher body weight, and were more frequently current smokers.
- Younger patients were more often diagnosed with ST-segment elevation myocardial infarction (STEMI) and had less significant coronary artery stenosis.
- Bioresorbable vascular scaffolds were more commonly used in younger patients, and the relative incidence of AMI in this group increased from 1.20% to 1.43% between 2014 and 2017.
Conclusions:
- Smoking is the predominant risk factor for AMI in young adults.
- There is a concerning upward trend in the incidence of AMI among young patients.
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