Badanie służące ocenie występowania choroby wieńcowej w młodym wieku

Autor: Ersan Tatli, Mustafa Tarık Ağaç, Mehmet Akif Cakar, Sabiye Yilmaz, Mehmet Bülent Vatan, Huseyin Gunduz, Saadet Demirtaş, Ercan Aydin, Perihan Varim
Rok vydání: 2017
Předmět:
Zdroj: Folia Cardiologica. 12:543-550
ISSN: 2353-7760
2353-7752
DOI: 10.5603/fc.2017.0104
Popis: Introduction. An increasing number of younger patients are being hospitalized with acute coronary syndromes. Earlier risk assessment is essential to prevent or delay coronary artery disease (CAD). This study aimed to assess the rate, risk factor profile, presentation, management and prognosis in young patients with CAD and compared with the same age group without CAD. Material and methods. In this retrospective study, 4325 patients who had undergone coronary angiography from 2011 to 2014 were identified. A total of 627 patients were ≤ 45 years age; 412 of them had CAD, and 215 had normal coronary arteries (control group). Results. The mean age of the patients was 41.7 ± 4.1 years in the CAD group and 41.5 ± 4.5 years in the control group. The prevalences of dyslipidemia, smoking, family history of CAD, hypertension, diabetes, and overweight were higher in the CAD than in the control group. However, the obesity rate was not significantly different between the two groups. Patients with ACS often presented with ST elevation myocardial infarction (STEMI) (49.3%), and single-vessel involvement (55.3%) predominated. Percutaneous coronary intervention (PCI) was the main myocardial reperfusion therapy (68.4%). Conclusions. Among the young patients studied, CAD had a higher incidence in males. Smoking was the most important modifiable risk factor. Also, patients showed high prevalences of dyslipidemia, overweight, diabetes, and family history of CAD. This study re-emphasizes the relationship between traditional cardiovascular risks and CAD in young.
Databáze: OpenAIRE
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