Key result
Smoking dominates young STEMI risk, with ~63% of patients presenting with single-vessel LAD disease.
Why the study?
Younger patients with STEMI show distinct clinical presentations and prognoses compared to older counterparts, but studies specifically examining risk factors and angiographic profiles in young patients have been lacking.
Cross-Sectional (n=51)
Open-label
No
Smoking, diabetes, and dyslipidemia are the most prevalent risk factors in young STEMI patients, with the LAD being the most commonly affected artery.
Answers are grounded in this paper and cite their sources.
Supports smoking cessation emphasis in young adults; leaves open whether LAD-predominant patterns warrant age-specific trials.
Background: Compared to older counterparts, a significant distinction has been found related to risk factors, clinical presentation, and prognosis of ST-segment elevation myocardial infarction (STEMI) in younger patients. To date, a lack of studies has been looked, specifically at-risk factors and angiographic profile of STEMI among younger patients; with this in mind, we conducted the present study.Methods: This hospital-based, cross-sectional, open-label study was carried out at Deccan College of Medical Sciences between April 2018 and December 2019. Patients under 40 years with the presentation of STEMI were included. All patients were subjected to electrocardiography, 2D echocardiography, and coronary angiogram. Baseline demographics, risk factors, and procedural characteristics were recorded.Results: Of 51 young STEMI patients, 41 (80.4%) were male and 10 (19.6%) were female. The most common risk factors associated with the development of STEMI in young patients were smoking (58.8%), followed by diabetes (45.1%), and dyslipidaemia (45.1%). Anterior wall MI was the most frequent presentation (84.3%). The left anterior descending artery was the most frequently (62.8%) involved vessel, followed by left circumflex artery (9.8%), and right coronary artery (5.9%).Conclusions: Insights gained from the study can aid in identifying clinical characteristics of STEMI in young patients, which may be beneficial to achieve appropriate and timely management. Further, the young population should be educated as to control modifiable risk factors and smoking cessation to prevent coronary artery disease since they belong to the highly productive group in the community.
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Golla et al. (2021) conducted a cross-sectional in ST-segment elevation myocardial infarction (STEMI) (n=51). Risk factors for STEMI was evaluated on Prevalence of risk factors and angiographic profile. Among young STEMI patients under 40 years, smoking was the most common risk factor (58.8%), and anterior wall MI with single-vessel disease involving the LAD (62.8%) was the most frequent presentation.
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