Key result
Older young adults undergoing catheterization are linked to significantly higher PCI rates than younger peers.
Why the study?
Coronary artery disease incidence is increasing among young populations, but data on coronary revascularization in young Saudi male patients are minimal.
Observational (n=890)
No
May guide age-stratified risk assessment in young men referred for catheterization; leaves open whether associations reflect progression or referral patterns.
Background: Coronary artery disease has shown an increase in the incidence among young population, but the data coronary revascularization either percutaneous coronary intervention (PCI) or CABG in this group of patients are minimal.Our objective of this study was to identify the risk factors in those young Saudi male patients.Methods: A single center study, we reviewed 890 saudi male patients who underwent cardiac catheterization with or without coronary artery intervention between 2008 and 2013.The data was retrieved retrospectively from their health informatics system.The study cohort was dichotomized into two groups; group (A) 35years and younger, and group (B) 45years and younger.The conventional cardiovascular risk factors were compared between groups.Results: The total study cohort was 890; the number of patients who underwent PCI was 314 (35%).35 patients aged < 35years 279 patients aged < 45years.The prevalence of the traditional cardiovascular risk factors; hypertension 253 (28%), diabetes mellitus 277 (31%), dyslipidemia 311(35%), obesity305 (34%) and smoking 530 (60%) respectively.Family history of coronary artery disease as a non-modifiable cardiovascular risk factor was presented in 104 (12%).Comparing the two groups; Group (A) <35years and Group (B) <45years; hypertension and diabetes were significantly higher among older group (p-value <0.001).Conclusion: Male Patients age < 45years represented the majority of the cases underwent percutaneous coronary revascularization (PCI) and this could be related to higher risk factors like smoking, dyslipidemia and obesity in this group, therefore establishing an earlier risk factors modification program is essential in our society.
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A 2017 study conducted an observational in Coronary Artery Disease (n=890). Older age (35-45 years) vs. Younger age (< 35 years) was evaluated on Percutaneous coronary intervention (PCI) (p=0.003). Among young Saudi male patients undergoing cardiac catheterization, older patients (35-45 years) underwent percutaneous coronary intervention significantly more often than those under 35 years, and exhibited significantly higher rates of hypertension and diabetes.
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