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[Mortality of patients with myocardial infarction at a young age]
W Witczak1, F Monies, K Kaczmarczyk
1Oddzialu Chorób Wewnetrznych Szpitala Wojskowego w Lublinie.
Insights
Younger patients (under 40) represent 5.1% of myocardial infarction cases. Early mortality is high at 42.6%, with significantly higher prehospitalization deaths in men compared to women.
Area of Science:
- Cardiology
- Public Health
Context:
- Myocardial infarction (MI) affects a notable percentage of younger individuals.
- Early mortality rates and prehospitalization deaths are critical concerns in MI patient outcomes.
Purpose:
- To analyze the demographic distribution of myocardial infarction in patients under 40.
- To investigate early mortality patterns, differentiating between prehospitalization and hospital phases.
- To compare prehospitalization mortality rates between men and women in this younger cohort.
Summary:
- Patients under 40 constituted 5.1% of the myocardial infarction cases studied (5.4% men, 4.1% women).
- Overall early mortality was 42.6%, predominantly driven by prehospitalization deaths.
- Prehospitalization mortality was significantly higher in men (45.3%) than in women (11.2%), while hospital mortality remained low at 7.8%.
Impact:
- Highlights the significant burden of myocardial infarction in younger populations.
- Underscores the critical need for improved prehospital care and early intervention strategies, particularly for men.
- Informs targeted public health initiatives and clinical practice guidelines for managing myocardial infarction in diverse age and gender groups.
Abstract:
Among patients with myocardial infarction, patients up to 40 years of age accounted for 5.1% (5.4% men and 4.1% women). Early mortality due to myocardial infarction was in the all material 42.6% and depended mainly on deaths of men in the prehospitalization period. Prehospitalization mortality varied between men and women. It was 45.3% for men and 11.2% for women. Hospital mortality was low, accounting for 7.8% of the treated subjects.