Myocardial infarction in Young adults: risk factors, clinical characteristics and prognosis according to our experience

Gregorio Caimi, Rosalia Lo Presti, Egle Incalcaterra, Marco Caruso

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15 Citazioni (Scopus)


Objectives. Myocardial infarction is a relatively unusual phenomenonin young subjects. The aim if this work is to characterize therisk profile and factors influencing outcomes of these patients sinceit makes possible to manage prevention interventions.Patients and Methods. We examined cardiovascular risk factors,clinical presentation, angiographic picture and outcome of a group ofyoung patients hospitalized for a myocardial infarction. We enrolled121 young patients consecutively admitted to our hospital for a myocardialinfarction and examined them not only at the initial stage, butalso after 3 months and one year; finally a long-term telephonic followup was performed, when possible.Results. We found some peculiarity making these patients quitedifferent from the older ones who develop a myocardial infarction:cigarettes smoking, family history of ischemic heart disease and hyperlipidemiawere the most frequent cardiovascular risk factors, whilediabetes and hypertension were less represented; moreover coronaryangiography showed more frequently a less extensive coronary atherosclerosis.Patients who developed a cardiovascular event at follow-uppresented a significantly higher prevalence of hypertension and obesityand a significantly lower frequency of healthy coronary arteries and ofprevious revascularization.Conclusions. Myocardial infarction in young adults presents severalpeculiarities, represented not only by the risk profile, but also bythe angiographic picture and the prognosis. Considering the long lifeexpectancy of the involved population, the essential role of preventiveinterventions should be strongly underlined.
Lingua originaleEnglish
pagine (da-a)e77-e82
Numero di pagine6
Stato di pubblicazionePublished - 2013

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