Key result
Among 77 STEMI patients aged <40 years, smoking was prevalent (61.0%), and many were newly diagnosed in-hospital with hypertension (36.7%) and elevated LDL (28.6%).
Observational (n=77)
Yes
Very young STEMI patients (<40 years) in Abu Dhabi have high rates of smoking and previously undiagnosed risk factors like hypertension and dyslipidemia, highlighting a critical need for earlier screening.
May support earlier risk screening in young adults; hypothesis-generating for prevention strategies in early STEMI.
INTRODUCTION: In the Indian subcontinent and Arab Gulf, coronary artery disease is affecting younger persons at greater rates. Few studies have focused on young ST-elevation myocardial infarction (STEMI) patients in these regions. We examine the clinical profile and treatment of STEMI patients aged <40 years. METHODS: Participants consisted of 77 STEMI patients, aged <40 years, admitted to hospitals in Abu Dhabi. Data were collected using electronic medical records. Descriptive statistics were calculated for STEMI profile, medical history, risk factors, in-hospital events, and treatment. RESULTS: Smoking was prevalent (61.0%). Beta blockers were frequently prescribed (90.7%); aspirin infrequently (12%). Of patients without history of each condition, 36.7% were diagnosed in-hospital with hypertension, 28.6% with elevated low-density lipoprotein, and 18.8% with lowered high-density lipoprotein. CONCLUSIONS: Among young adults who use tobacco, there is a need for improved screening for risk factors. Earlier detection and treatment of dyslipidemia and hypertension could prevent acute cardiac events among individuals aged <40 years with multiple risk factors.
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Callachan et al. (2017) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=77). Risk factors (smoking, hypertension, dyslipidemia) was evaluated on Prevalence of risk factors and in-hospital events. Among 77 STEMI patients aged <40 years, smoking was prevalent (61.0%), and many were newly diagnosed in-hospital with hypertension (36.7%) and elevated LDL (28.6%).
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