Key result
Young patients (<40 years) with acute coronary syndrome had a significantly higher prevalence of angiographically normal coronary arteries, nonobstructive disease, and single-vessel disease compared to older patients.
Observational (n=392)
No
Young patients presenting with acute coronary syndrome frequently have angiographically normal coronary arteries or single-vessel disease, contrasting with the multivessel disease typically seen in older patients.
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May prompt etiology-specific evaluation in young ACS; hypothesis-generating and should not yet change practice.
Background: CAD is a major cause of death worldwide. Indians are prone as a community to CAD at much younger age. This study examined the coronary angiographic profile characteristic in young (<40 year) patients with ACS compared with that in older patients (>60 year).Methods: 192 patients with ACS aged less than 40 year and 200 patients with ACS aged more than 60 year were included in this study. Coronary angiographic profile characteristics were evaluated in young ACS patients and compared with that in older patients.Results: Young ACS patients often had angiographically normal coronary arteries, nonobstructive disease and single vessel disease than older patients (p value<0.05).Conclusions: Angiographically normal coronary arteries, nonobstructive disease, single vessel disease are more frequent in younger patients.
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Maurya et al. (2016) conducted an observational in Acute coronary syndrome (n=392). Young age (<40 years) vs. Older age (>60 years) was evaluated on Angiographically normal coronary arteries (in men) (p=<0.05). Young patients (<40 years) with acute coronary syndrome had a significantly higher prevalence of angiographically normal coronary arteries, nonobstructive disease, and single-vessel disease compared to older patients.
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