Single-vessel disease was more common in young patients (81.0% vs. 46.3%; P
📌 3 Key Takeaways
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Objective & Hypothesis:Objective: It is to reveal the differences between clinical, angiographic, in-hospital and one-year follow-up results between young and elderly patients with acute ST-segment elevation myocardial infarction.
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Key Findings & Data:Materials and Methods: This study was designed retrospectively in two centers. 2891 patients were screened; 260 of which were young. 260 elderly patients were randomly selected among the patients and the differences between both groups were evaluated.
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Conclusion & Impact:Single-vessel disease was more common in young patients (81.0% vs. 46.3%; P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Objective: It is to reveal the differences between clinical, angiographic, in-hospital and one-year follow-up results between young and elderly patients with acute ST-segment elevation myocardial infarction. Materials and Methods: This study was designed retrospectively in two centers. 2891 patients were screened; 260 of which were young. 260 elderly patients were randomly selected among the patients and the differences between both groups were evaluated. Results: The median age of the young patients was 37 (34-39) years and the median age of the elderly patients was 65 (56-73) years, and male gender was dominant in both groups. Young patients were more likely to be admitted with Killip class 1, while older patients were more likely to be admitted with Killip class 2 (P=0.002). Single-vessel disease was more common in young patients (81.0% vs. 46.3%; P
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Cite This Article
Murat, B., Murat, S. (2022). Comparison of Clinical Profiles, Angiographic Features and Outcomes of Young and Elderly Patients with ST-Segment Elevation Myocardial Infarction. Acta Medica, Cilt: 53 - Sayı: 1, 44–52. https://ajindex.com/articles/427521
Morrad B, Eraslan S, Gorenek B. Prevalence and Types of Supraventricular and Ventricular Arrhythmias Developing in Patients with Acute Coronary Syndrome. J Cardio Cardiovasu Med. 2017;2(1):004
Hosseini SK, Soleimani A, Salarifar M, et al. Demographics and angiographic findings in patients under 35 years of age with acute ST elevation myocardial infarction. J Tehran Heart Cent. 2011;6(2):62
Murat B, Kivanc E, Dizman R, et al. Gender differences in clinical characteristics and in-hospital and one-year outcomes of young patients with ST-segment elevation myocardial infarction under the age of 40. J Cardiovasc Thorac Res. 2021;13(2):116-24
Wittlinger T, Seifert C, Simonis G,et al. Prognosis in myocardial infarction of young patients: Results of a prospective registry. Int J Cardiol. 2020;300:1-6
Sangita Rathod, Akash Sampat, Harsh Jagani. Epidemiological determinants and clinical parameters of acute myocardial infarction in young adults. IAIM, 2019; 6(5): 119-23
Zimmerman FH, Cameron A, Fisher LD,et al. Myocardial infarction in young adults: angiographic characterization, risk factors and prognosis (Coronary Artery Surgery Study Registry). JACC. 1995;26(3):654-61
Shalaby G. Acute Myocardial Infarction in Young Adults: Prevalence, Clinical Background and In-Hospital Outcomes with Particular Reference to Socio-Economic Influences a Middle Eastern Tertiary Center Experience. SRC/JCRRR. 2020;129 (1):3
Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-77
Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2019;40(3):237-69
Deshmukh PP, Singh MM, Deshpande MA, et al. Clinical and angiographic profile of very young adults presenting with first acute myocardial infarction: Data from a tertiary care center in Central India. Indian Heart J. 2019;71(5):418- 21
Simon T, Mary-Krause M, Cambou J-P, et al. Impact of age and gender on in-hospital and late mortality after acute myocardial infarction: increased early risk in younger women: results from the French nation-wide USIC registries. Eur Heart J. 2006;27(11):1282-8