46 Young at heart: risk factor assessment of young adults (≤45) with st elevated myocardial infarction

Introduction: Acute myocardial infarction (AMI) is a major cause of death around the world. There are limited studies of risk factor profile in young adults with AMI. This study aimed to assess the risk factor profile of young adults with AMI at the emergency department of Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. This is a preliminary result of young adults (age between 18 to 45 years old) who presented to the emergency department of HTAA. Materials and Methods: This cross-sectional study was conducted in HTAA from the 31st July 2017 to the 11th June 2018 involving 709 patients who were diagnosed with AMI. Seventy seven patients were less than 45 years old. However, only 55 were recruited for analysis who fulfilled the inclusion and exclusion criteria. Results: The prevalence of young adults with AMI was 10.9% with mean age of 38.8 ± 5.1 years old and 96.4% were male. Eighty percent of the patients were Malay followed by 10.9% Chinese and 9.1% were Indian. 83.6% were married while 14.5% were unmarried and 1.8% were divorcees. Majority of patients (81.8%) had income less than RM4000. The common risk factors of young adults with AMI presented to HTAA was smoking (80%) followed by increased waist circumference (54.5%), obesity (52.7%), hypertension (40%), hypercholesterolaemia (27.2%), family history of ischaemic heart disease (27.2%), and diabetes mellitus (21.8%). Conclusion: AMI in young adults almost exclusively occurs in male. Smoking and obesity were the most common risk factors in young adults with AMI in HTAA.

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Assessment of absolute risk of death after myocardial infarction by use of multiple-risk-factor assessment equations; GISSI-Prevenzione mortality risk chart

European Heart Journal ◽

10.1053/euhj.2000.2544 ◽

2001 ◽

Vol 22 (22) ◽

pp. 2085-2103 ◽

Cited By ~ 74

Author(s):

R Marchioli

Keyword(s):

Myocardial Infarction ◽

Risk Factor ◽

Mortality Risk ◽

Absolute Risk ◽

Multiple Risk Factor ◽

Risk Factor Assessment ◽

Risk Of Death ◽

Multiple Risk

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RISK FACTOR PROFILES AND OUTCOMES OF VERY YOUNG ADULTS WITH MYOCARDIAL INFARCTION: RESULTS FROM THE YOUNG-MI REGISTRY

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)33765-9 ◽

2019 ◽

Vol 73 (9) ◽

pp. 3 ◽

Cited By ~ 3

Author(s):

Junjie Yang ◽

Biery David ◽

Avinainder Singh ◽

Sanjay Divakaran ◽

Ersilia M. DeFilippis ◽

...

Keyword(s):

Myocardial Infarction ◽

Young Adults ◽

Risk Factor

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A cross sectional study of acute myocardial infarction in young individuals below 40 years and associated risk factors in Mandya institute of medical sciences, Mandya, Karnataka

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20211047 ◽

2021 ◽

Vol 8 (4) ◽

pp. 511

Author(s):

Chandregowda . ◽

Mahesh K. ◽

Anagha Unnikrishnan

Keyword(s):

Risk Factors ◽

Myocardial Infarction ◽

Young Adults ◽

Risk Factor ◽

Young Patients ◽

Signs And Symptoms ◽

Cross Sectional Study ◽

Cross Sectional ◽

Common Cause ◽

Coronary Syndrome

Background: Acute coronary syndrome (ACS) is a potentially life‑threatening condition which is more common in elderly people, and young are relatively protected. Its incidence in young Indians is about 12-16%. Currently, the protective effect on young from coronary artery disease (CAD) is taken away by several risk factors. The aim of this study is to determine the conventional and new emerging risk factors like hyperhomocysteinemia and lipoprotein a (Lp [a]) which are suggested to play an important role in myocardial infarction (MI). Methods: This study was a hospital‑based retrospective cross‑sectional analytical study involving 61 patients aged ≤40years presented with signs and symptoms of ACS confirmed by ECG changes and cardiac enzyme levels admitted in the cardiac ICU from April 2019 to March 2020.Results: Although ACS is a less common entity in young adults aged ≤40 years, smoking was the most common cause of the MI (75%) in young adults. Homocysteine and Lp (a) should be measured in young MI patients. Smoking cessation and prevention of diabetes and hypertension (HTN) should be encouraged.Conclusions: Smoking was the most common cause of the MI (75%) in young adults and is the major modifiable risk factor for MI in very young patients which needs strict prevention. Young patients with CAD were mainly males. There is a need for early detection of a risk factor to prevent the progression of ACS,

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Pulmonary Embolism Detected by Pulmonary MDCT Angiography in Older Children and Young Adults: Risk Factor Assessment

American Journal of Roentgenology ◽

10.2214/ajr.11.8005 ◽

2012 ◽

Vol 198 (6) ◽

pp. 1431-1437 ◽

Cited By ~ 15

Author(s):

Edward Y. Lee ◽

Mark I. Neuman ◽

Nam Ju Lee ◽

Victor M. Johnson ◽

David Zurakowski ◽

...

Keyword(s):

Pulmonary Embolism ◽

Young Adults ◽

Risk Factor ◽

Older Children ◽

Mdct Angiography ◽

Risk Factor Assessment ◽

Children And Young Adults

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Abstract 311: Risk Factor Profile and Outcome in Young Adults Presenting With Acute Myocardial Infarction Compared to Older Adults.

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.7.suppl_1.311 ◽

2014 ◽

Vol 7 (suppl_1) ◽

Author(s):

Venmathi Indramohan ◽

Raef Hajjali ◽

Kwame Akosah

Keyword(s):

Myocardial Infarction ◽

Older Adults ◽

Acute Myocardial Infarction ◽

Young Adults ◽

Risk Factor ◽

Younger Adults ◽

Risk Factor Profile ◽

Short Term Mortality ◽

Acute Mi ◽

Percutaneous Revascularization

Background: Management of acute myocardial infarction has improved but preventing the first myocardial infarction in the first place continues to be a challenge. Guidelines for prevention have focused on ‘one-size-fits-all’ approach. With the nation’s changing trends in risk factor profile (Diabetes mellitus, obesity and tobacco use), we aimed to examine the risk factor profile for young adults (<50 years) suffering acute myocardial infarction (AMI) and compared to older adults (>50 years). Methods: The Nationwide Inpatient Sample (NIS), a part of the Healthcare Cost and Utilization project (HCUP) is the largest publicly available inpatient database designed to provide information on patients discharged from United States community hospitals. Using the NIS database from 2008 to 2010, 374,173 adults with AMI were identified. Results: Younger adults had a significantly higher incidence of smoking (51% vs. 18.8%; P< 0.001) and obesity (17.3% vs. 9.9%; P<0.001). The rate of hypertension was similar in both groups. Younger adults were more likely to present with ST elevation myocardial infarction (42 % vs. 27%) and undergo percutaneous revascularization (62% vs. 41%) as compared to older adults. In-hospital mortality was lower in younger adults presenting with AMI (1.7 % vs. 6.2%) as expected. Conclusion: 1). Acute MI in the young adult is more likely to present as STEMI. 2). Young adults are more likely to be obese and use tobacco. 3). The results suggest that there is opportunity to improve AMI in the young by focusing on modifiable risk factors. 4). The lower short term mortality may imply that young adults with MI are beset with greater or long standing burden for complications.

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