Evidence map›Paper›PMID 32051385›Full record

ArticleInternal medicine (Tokyo, Japan)2020

Epidemiological Features and Clinical Presentations of Acute Coronary Syndrome in Young Patients.

Hiroaki Sawada, Hirohiko Ando, Hiroaki Takashima, Katsuhisa Waseda, Masahiro Shimoda, Hirofumi Ohashi, Akihiro Suzuki, Shinichiro Sakurai, Yusuke Nakano, Tetsuya Amano

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 35% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. The Triglyceride-Glucose Index is associated with hospital and Intensive Care Unit Mortality in critically ill patients with Acute Coronary Syndrome.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
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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

10 authors at 1 institution in 1 country.

Hiroaki SawadaDepartment of Cardiology, Aichi Medical University, Japan.
Hirohiko AndoDepartment of Cardiology, Aichi Medical University, Japan.
Hiroaki TakashimaDepartment of Cardiology, Aichi Medical University, Japan.
Katsuhisa WasedaDepartment of Cardiology, Aichi Medical University, Japan.
Masahiro ShimodaDepartment of Cardiology, Aichi Medical University, Japan.
Hirofumi OhashiDepartment of Cardiology, Aichi Medical University, Japan.
Akihiro SuzukiDepartment of Cardiology, Aichi Medical University, Japan.
Shinichiro SakuraiDepartment of Cardiology, Aichi Medical University, Japan.
Yusuke NakanoDepartment of Cardiology, Aichi Medical University, Japan.
Tetsuya AmanoDepartment of Cardiology, Aichi Medical University, Japan.
Aichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Although acute coronary syndrome (ACS) is an uncommon entity in young patients, it constitutes an important problem due to the devastating effects of the disease on the more active lifestyle of young patients. At present, there are no guidelines regarding the prevention of ACS in young patients. Methods We performed a retrospective study of ACS patients between 2014 and 2017. Epidemiological data, clinical findings, and short-term outcomes were evaluated between young ACS patients (≤50 years old) and elderly ACS patients (>50 years old). Results Of a total of 361 consecutive ACS patients, 37 were young ACS patients (10.2%). Compared with elderly ACS patients, young ACS patients showed a higher prevalence of males (94.6% vs. 73.8%, p<0.001), current smoking (70.3% vs. 29.9%; p<0.001), and overweight persons (67.6% vs. 27.8%, p<0.001). The eicosapentaenoic acid (EPA)/arachidonic acid (AA) ratio was significantly lower in young ACS patients than in elderly ACS patients [0.17 (0.12-0.25) vs. 0.25 (0.18-0.37), p=0.002]. The prevalence of cardio-pulmonary arrest and percutaneous cardiopulmonary support use was higher in young ACS patients than in elderly ACS patients (24.3% vs. 8.6%, p=0.003, 16.2% vs. 3.1%, p<0.001). Conclusion The features were markedly different between young ACS patients and elderly ACS patients. In young ACS patients, smoking, being overweight, and a low EPA/AA ratio were distinctive risk factors, and more serious clinical presentations were observed at the onset of ACS than in older patients.

Indexed as

Acute Coronary SyndromeAdultAgedAge FactorsArachidonic AcidEicosapentaenoic AcidFemaleHumansJapanMaleMiddle AgedOverweightPrevalenceRegistriesRetrospective StudiesRisk FactorsArachidonic AcidEicosapentaenoic Acideicosapentaenoic acid ethyl esteracute coronary syndromecardiac arrestEPA/AAsmokingyoung patients

Identifiers

PMID32051385
PMCPMC7270760
OpenAlexW3006562002

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.