Key result
Primary percutaneous coronary intervention success rates were comparable between young (<45 years) and older (≥45 years) patients with acute STEMI.
Why the study?
CAD is the leading cause of death globally, and the presentation of ACS differs in younger patients who often experience rapid progression from first angina to MI.
Does age <45 years compared to ≥45 years affect short term outcomes in patients undergoing primary PCI for acute STEMI?
Cross-Sectional (n=200)
Yes
Does age <45 years compared to ≥45 years affect short term outcomes in patients undergoing primary PCI for acute STEMI?
In Egyptian patients undergoing primary PCI for STEMI, younger patients (<45 years) have comparable procedural success but less frequent short-term MACE compared to older patients.
Answers are grounded in this paper and cite their sources.
Younger STEMI patients had lower short-term MACE after primary PCI; hypothesis-generating for age-specific risk models in prospective cohorts.
Background: Coronary Artery disease (CAD) is the leading cause of death globally. The classic presentation of worsening angina culminating acute coronary syndrome (ACS) is rare in younger patients but the first onset of angina that rapidly progresses to fully evolved myocardial infarction (MI) is oft en the case. The aim of this work was to study the short term outcome in patients undergoing primary percutaneous coronary intervention for acute ST elevation myocardial infarction. Methods: This was study a prospective, cross-sectional study carried out between July2020 to July 2021. The patients underwent coronary angiography at the National Heart Institute and cardiology department of Benha university hospitals. The patients were classified into two groups: - Group1: comprised 100 patients with coronary artery disease (CAD) aged <45 years old. Group2: comprised 100 patients with CAD aged ≥45 years old. Results: The rate of success of primary intervention was comparable between the two study groups 95% in young group vs 90% in older group. Conclusion: Acute STEMI in young Egyptians was predominantly observed in men, MACE was less frequent in Young age group.
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Ali et al. (2022) conducted a cross-sectional in Acute ST Elevation Myocardial Infarction (STEMI) (n=200). Young age (<45 years) vs. Older age (≥45 years) was evaluated on Rate of success of primary intervention. Primary percutaneous coronary intervention success rates were comparable between young (<45 years) and older (≥45 years) patients with acute STEMI.
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