Key result
Myocardial infarction rates in young patients, particularly women, have not decreased as much as in older individuals, driven by underestimation of risk and increasing obesity and diabetes.
Why the study?
Although myocardial infarction incidence has declined in the general population, rates in the young have not decreased as much as observed among older individuals.
Myocardial infarction rates in young adults, especially women, are not declining at the same rate as older adults, highlighting the need for better cardiovascular risk assessment and management in this population.
Answers are grounded in this paper and cite their sources.
MI risk underestimation in young women warrants vigilance; leaves open targeted trials on obesity and diabetes trends.
PURPOSE OF REVIEW: In recent decades, the incidence of myocardial infarction (MI) has declined among the general population. However, MI rates in the young have not decreased as much as has been observed among older individuals. This review will focus on recent trends of MI in young patients, factors that may account for these trends, and implications for future prevention. RECENT FINDINGS: MI rates in young patients, particularly in women, have not decreased in the same fashion as they have for their older counterparts, with some studies reporting an increase. The reasons for these findings include underestimation of cardiovascular risk, and accordingly treatment, in the young, as well as an increasing prevalence of risk factors such as obesity and diabetes. SUMMARY: Better recognition and treatment of cardiovascular risk factors among young adults may improve outcomes. There is a need for improved methods to assess and treat cardiovascular risk in young individuals.
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Wu et al. (2020) conducted a review in Myocardial infarction. Myocardial infarction rates in young patients, particularly women, have not decreased as much as in older individuals, driven by underestimation of risk and increasing obesity and diabetes.
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