Epidemiological and clinical profile, management and outcomes of young patients (≤40 years) with acute coronary syndrome: A single tertiary care center study
| Autor: | Manojkumar Rohit, M. Palanivel Rajan, Dinakar Bootla, Ankur Gupta, Ajay Bahl, Lipi Uppal, Krishna Santosh Vemuri, Ganesh Kasinadhuni, Krishna Prasad Nevali, Atit A Gawalkar, Pruthvi C Revaiah, Rajesh Vijayvergiya |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute coronary syndrome RD1-811 Epidemiology medicine.medical_treatment 030204 cardiovascular system & hematology Revascularization Coronary artery disease law.invention Tertiary Care Centers 03 medical and health sciences Coronary artery bypass surgery Percutaneous Coronary Intervention 0302 clinical medicine law Internal medicine medicine Humans Diseases of the circulatory (Cardiovascular) system 030212 general & internal medicine Coronary Artery Bypass Risk factor business.industry Percutaneous coronary intervention medicine.disease Intensive care unit Management RC666-701 Female Original Article Surgery Cardiology and Cardiovascular Medicine business Young adults |
| Zdroj: | Indian Heart Journal, Vol 73, Iss 3, Pp 295-300 (2021) Indian Heart Journal |
| ISSN: | 0019-4832 |
| Popis: | Objective: To study the epidemiological and clinical profile, angiographic patterns, reasons for the delay in presentation, management, and outcomes of the acute coronary syndrome (ACS) in young patients (≤40yrs) presenting to a tertiary care hospital in North India. Methods: We included a total of 182 patients aged ≤40 years and presenting with ACS to the cardiology critical care unit of our department from January 2018 to July 2019. Results: The mean age of the study population was 35.5 ± 4.7years. 96.2% were males. Risk factors prevalent were smoking (56%), hypertension (29.7%), family history of premature coronary artery disease (18.2%), and diabetes (15.9%). The median time to first medical contact and revascularization was 300 (10–43200) minutes and 2880 (75–68400) minutes, respectively. ST-elevation ACS (STE-ACS) accounted for 82% and Non-ST-elevation ACS (NSTE-ACS) accounted for 18% of cases. Thrombolysis was done in 51.7% of the cases. Coronary angiography was done in 91.7% and percutaneous coronary intervention (PCI) in 52.2% (95/182) of the total cases. Coronary artery bypass surgery (CABG) was done in 2 patients (1.1%). Among those who underwent coronary angiography, single-vessel disease (SVD) was seen in 53% of the cases. There were no deaths in hospital, and only one patient died during the 30 days follow up. Conclusions: STE-ACS was the most common presentation of ACS in the young population. Smoking was the most common risk factor. The majority of the patients had single-vessel disease, and there was a significant delay in first medical contact and revascularization. |
| Databáze: | OpenAIRE |
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