Evidence map›Paper›PMID 31715169›Full record

ArticleThe American journal of medicine2020

Risk Factors and Outcomes of Very Young Adults Who Experience Myocardial Infarction: The Partners YOUNG-MI Registry.

Junjie Yang, David W Biery, Avinainder Singh, Sanjay Divakaran, Ersilia M DeFilippis, Wanda Y Wu, Josh Klein, Jon Hainer, Mattheus Ramsis, Pradeep Natarajan and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05585138 (Effects of Preoperative Segmental Breathing Exercise on Postoperative Pulmonary Complications in Patients Awaiting Coronary Artery Bypass Graft Surgery), which is not on this map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05585138 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Preoperative Segmental Breathing Exercise on Postoperative Pulmonary Complications in Patients Awaiting Coronary Artery Bypass Graft Surgery (CABG)

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2022Enrolled44ConditionsComplications Due to Coronary Artery Bypass GraftArmssegmental breathing exercise, deep breathing
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 138 citations in OpenAlex.

  1. Article
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  10. A Rising Threat of Very Young Age Myocardial Infarction.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Junjie YangCardiovascular Division, Department of Medicine; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass; Department of Cardiology, Chinese PLA General Hospital, Beijing, China.
David W BieryCardiovascular Division, Department of Medicine.
Avinainder SinghYale University School of Medicine, New Haven, Conn.
Sanjay DivakaranCardiovascular Division, Department of Medicine.
Ersilia M DeFilippisNew York Presbyterian-Columbia University Irving Medical Center, New York, NY.
Wanda Y WuCardiovascular Division, Department of Medicine.
Josh KleinDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Jon HainerDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Mattheus RamsisCardiovascular Division, Department of Medicine.
Pradeep NatarajanCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
James L JanuzziCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Khurram NasirYale University School of Medicine, New Haven, Conn.
Deepak L BhattCardiovascular Division, Department of Medicine.
Marcelo F Di CarliCardiovascular Division, Department of Medicine; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Ron BlanksteinCardiovascular Division, Department of Medicine; Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass. Electronic address: rblankstein@bwh.harvard.edu.
Brigham and Women's Hospital · USCardiovascular Research Center · BRHarvard University · USYale University · USColumbia University Irving Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Noninvasive Cardiovascular Imaging Research Training ProgramT32HL094301 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Marcelo F DI CARLI · 2010 to 2026
$7.8M
Whole genome sequences in individuals to comprehensively characterize the genetic mechanisms of dyslipidemiasR01HL142711 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Satoshi Koyama, Gina Marie Peloso · 2019 to 2026
$4.7M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL142711NHLBI NIH HHS T32 HL094301
6 · The paper itself

Abstract

backgroundDespite significant progress in primary prevention, the rate of myocardial infarction has not decreased in young adults. We sought to compare the risk factor profiles and outcomes between individuals who experienced a first myocardial infarction at a very young (≤40 years) and a young (age 41-50 years) age.

methodsWe evaluated all patients ≤50 years of age admitted with a Type 1 myocardial infarction to 2 large academic hospitals from 2000 to 2016. Risk factors were determined by review of electronic medical records. The primary outcomes of interest were all-cause and cardiovascular mortality.

resultsAmong 2097 consecutive young patients with myocardial infarction, 431 (20.5%) were ≤40 years of age. When compared with their older counterparts, very young patients had similar risk profiles, with the exception of greater substance abuse (17.9% vs 9.3%, P < .001) and less hypertension (37.9% vs 50.9%, P < .001). Spontaneous coronary artery dissection was more prevalent in very young patients (3.1% vs 1.1%, P = .003). Over a median follow-up of 11.2 years, very young myocardial infarction patients had a similar risk of all-cause and cardiovascular mortality.

conclusionsDespite being, on average, 10 years younger and having a lower prevalence of hypertension, very young myocardial infarction patients had similar 1-year and long-term outcomes when compared with those aged 41 to 50 years at the time of their index infarction. Our findings suggest the need for aggressive secondary prevention measures in very young patients who experience a myocardial infarction.

Indexed as

AdultAge FactorsCoronary AngiographyCoronary DiseaseFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMyocardial InfarctionRegistriesRetrospective StudiesRisk FactorsTreatment OutcomePremature coronary artery diseaseRisk factorsVery young adults

Identifiers

PMID31715169
PMCPMC7210047
OpenAlexW2986568730

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.