ArticleWorld journal of cardiology2025
Acute myocardial infarction in the young: A 3-year retrospective study.
Article in World journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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3 authors.
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Abstract
backgroundAcute myocardial infarction (AMI) is rare among patients aged ≤ 40 years but imposes significant morbidity, psychological distress, and economic burden. Approximately 10% of AMI hospitalizations involve patients under 45 years, underscoring the need to study this group. Compared to older patients, young AMI patients exhibit fewer traditional risk factors (
aimTo describe the characteristics of AMI in young patients, including presentation, risk factors, coronary angiography (CAG) findings, and management strategies.
methodsThis retrospective cross-sectional study analyzed 91 patients aged 20-40 years diagnosed with AMI at Mouwasat Hospital Dammam, from June 2020 to May 2023. Data on clinical presentation, cardiovascular risk factors, CAG findings, and treatments were collected from medical records. Descriptive statistics were used to summarize findings.
resultsOf 91 patients (96.7% male, mean age 35.9 years ± 3.4 years), 43.9% were obese (body mass index > 30 kg/m²). Hyperlipidemia was the most prevalent risk factor (69.2%), followed by smoking (49.5%), diabetes mellitus (33.0%), and hypertension (26.4%). ST-elevation myocardial infarction (STEMI) was the most common presentation (57.1%). The left anterior descending artery was frequently affected (78.0%), with single-vessel disease predominant (72.5%). Most patients underwent percutaneous coronary intervention (PCI) (74.7%), while 8.8% required surgery.
conclusionYoung AMI patients are predominantly obese males with hyperlipidemia and smoking as key risk factors, presenting with STEMI and single-vessel disease amenable to PCI.
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