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[Ischemic heart disease in young women. Its importance and possibilities of prevention]
T Momcilov-Popin1, D Zecević, B Vitić
1Institut za kardiovaskularne bolesti, Institutski put bb, Sremska Kamenica.
Insights
Ischemic heart disease is increasingly found in young women. Key risk factors like hypertension and obesity can be managed through lifestyle changes, emphasizing prevention.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Preventive Medicine
Context:
- Ischemic heart disease (IHD) is uncommon in women under 19 but is being diagnosed more frequently.
- This study investigated IHD in a cohort of 83 female patients aged 19 and younger.
- Understanding risk factors and diagnostic findings in this demographic is crucial for early intervention.
Purpose:
- To identify prevalent risk factors associated with ischemic heart disease in young women.
- To analyze diagnostic findings from electrocardiograms (ECG), exercise tests, and coronary arteriography.
- To highlight the importance of primary and secondary prevention strategies for IHD in this population.
Summary:
- Common risk factors identified include hypertension, hyperlipoproteinemia, smoking, stress, and obesity, often occurring in combination.
- ECG revealed changes in various regions, including anteroseptal and subendocardial areas.
- Exercise tests were positive in 81.81% of cases, and coronary arteriography showed occlusive changes in 81.72%, predominantly in the anterior descending artery.
Impact:
- The findings underscore the need for early detection and management of modifiable risk factors in young women.
- Implementing preventive measures, including lifestyle modifications like diet and exercise, can significantly reduce the burden of IHD.
- This research provides valuable insights for clinicians and public health initiatives focused on cardiovascular health in adolescents.
Abstract:
Ischemic heart disease in young women is a rare disease, but nowadays it is more frequently detected. The investigation involved 83 women up to the age of 19 with ischemic heart disease. The most frequent risk factors were as follows: hypertension, hyperlipoproteinaemia, smoking, stress and obesity. The association of three factors was most often observed. Electrocardiogram at rest pointed to the changes as follows: anteroseptal region, the whole anterior wall, postero-inferior region and subendocardial localization. Out of 11 exercise tests 36 (81.81%) of them were positive. Coronary arteriography was performed in 72 (86.71%), with positive changes in 61 (81.72%) patients. Occlusive changes were most frequently found on anterior descendent artery. Since a great number of risk factors in women may be easily corrected by an adequate diet and healthier way of life, their detection and implementation of measures of primary and secondary prevention have been attached a great importance.