Young patients with acute myocardial infarction had a significantly higher prevalence of single-branch coronary lesions (62.4% vs 24.6%) compared to elderly patients.
Observational (n=353)
No
Do clinical characteristics, risk factors, and coronary angiography results differ between young (≤42 years) and elder (≥60 years) patients with acute myocardial infarction?
Young patients with acute myocardial infarction exhibit a distinct clinical profile characterized by male predominance, heavy smoking, severe dyslipidemia, and single-vessel disease, emphasizing the need for targeted lifestyle interventions.
Absolute Event Rate: 62.4% vs 24.6%
p-value: p=<0.01
A growing number of 'Young' patients less than 40 years of age are being hospitalized with a diagnosis of acute myocardial infarction (AMI) due to increased prevalence of risk factors for atherosclerosis. The aim of this study was to compare clinical characteristics and performances of AMI between young and elderly patients. We conducted a retrospective study to compare AMI in young patients and elder patients. Based on the medical record databases in our hospital, we enrolled 114 'young' AMI patients (age ≤42 years) and 179 'elder' AMI patients (≥60 years), and then collected and analyzed their demographic information, clinical performances, and coronary angiography results. In the young AMI group, the proportion of male patients was higher than that in the elder AMI group (94.7 vs. 64.2%, P<0.05). Compared with the elder AMI patients, young patients had higher rates of smoking history and positive family medical history, but lower rates of hypertension and diabetes. Elder patients with AMI were more likely to develop various clinical performances, and multiple-branch lesions; however, young AMI patients had relatively fewer symptoms, and the tissue lesions were more limited. The clinical profiles of AMI in young patients were different from that in elder AMI patients. Specific interventions should be carried out to prevent and control the prevalence of AMI in the young population.
Wang et al. (Mon,) conducted a observational in Acute myocardial infarction (n=353). Young age (≤42 years) vs. Elder age (≥60 years) was evaluated on One-branch coronary lesion (p=<0.01). Young patients with acute myocardial infarction had a significantly higher prevalence of single-branch coronary lesions (62.4% vs 24.6%) compared to elderly patients.