Related Experiment Videos
[Acute myocardial infarct in young adults. A report of 142 cases]
E Badui1, A Rangel, A Valdespino
1División de Cardiología y Angiología, Hospital de Especialidades, Centro Médico La Raza, IMSS, México, D.F.
Abstract:
We present 142 cases of myocardial infarction in the young (MIY) which correspond to 5.6% of a total of 2525 patients with MI hospitalized in the past 5 years at the Hospital de Especialidades del Centro Médico La Raza, IMSS. Among them, 124 (87%) were males and 18 (13%) females. The age varied from 25-40 years, average 35 years for both sexes. Occupational labor: 56 (39.5%) were workers, 27 (19%) officemen, 22 (15.5%) professionals, 20 (14%) taxi drivers, 15 (10.5%) merchants and 2 (1.5%) students. Personal cardiac history: 42 (30%) had history of angor pectoris and 5 (3.5%) of MI. Coronary risk factors: 106 patients (75%) had emotional stress due to type "A" personality, 101 (71%) cigarette smoking, 59 (42%) systemic arterial hypertension, 35 (25%) diabetes mellitus, 35 (25%) hyperlipidemias and 28 (20%) obesity. Among them, 34 (24%) had no risk factors. MI localization: 48 (34%) anteroseptal, 37 (26%) anterolateral, 36 (25%) posteroinferior and 21 (15%) inferior. Only in 83 cases coronary angiogram was performed, among them: 34 (41%) had disease of the left coronary artery and 18 (22%) of the right; 33 (40%) had one vessel, 15 (18%) 2 vessel and 4 (5%) 3 vessel disease. In 31 (37%) the coronary angiogram was normal.(ABSTRACT TRUNCATED AT 250 WORDS)
Insights
Myocardial infarction in the young (MIY) affects 5.6% of patients, predominantly males aged 35. Key risk factors include emotional stress, smoking, hypertension, and diabetes, though some young patients had no identifiable risks.
Area of Science:
- Cardiology
- Internal Medicine
Context:
- Myocardial infarction in the young (MIY) represents a significant clinical challenge.
- This study analyzed 142 MIY cases, constituting 5.6% of all MI hospitalizations over 5 years.
Purpose:
- To investigate the demographic, occupational, clinical characteristics, and coronary angiographic findings in young patients experiencing myocardial infarction.
Summary:
- The study identified male predominance (87%) and an average age of 35 years among MIY patients.
- Common risk factors included emotional stress (75%), smoking (71%), hypertension (42%), and diabetes (25%), with 24% having no identified risk factors.
- Coronary angiograms revealed left coronary artery disease in 41% and single-vessel disease in 40% of cases, with 37% showing normal angiograms.
Impact:
- Findings highlight the prevalence and risk factor profile of MIY, informing targeted prevention and early intervention strategies.
- The study underscores the importance of considering MIY in younger populations, even in the absence of traditional risk factors.