PMID- 19947188
OWN - NLM
STAT- MEDLINE
DCOM- 20100106
LR  - 20161020
IS  - 1122-0643 (Print)
IS  - 1122-0643 (Linking)
VI  - 72
IP  - 2
DP  - 2009 Jun
TI  - Clinical features, management and in-hospital outcome of ST elevation myocardial 
      infarction (STEMI) in young adults under 40 years of age.
PG  - 71-6
AB  - OBJECTIVES: This study was designed to evaluate the demographic and clinical 
      findings and in-hospital management and outcome in patients with an acute 
      ST-segment elevation myocardial infarction (STEMI). MATERIAL AND METHODS: By 
      review of the Cardiovascular Tehran Heart Center Registry (CVDTHCR), 2028 
      patients were found to have the acute STEMI. We compared the patients' 
      characteristics in 109 (5.4%) subjects < or = 40 and 1919 subjects > 
      40-years-old. RESULTS: The young patients had less diabetes, hypertension, 
      dyslipidemia and history of MI or prior revascularization, and were more likely 
      to be male (92.7% vs. 74%), smoker (58.7% vs. 31.7%) and have family history of 
      CVD (50.5% vs. 23.4%). The young patients had higher prevalence of 
      angiographically normal coronary artery (13.7% vs. 0.9%; p<0.001). The young 
      patients were more likely to undergo percutaneous coronary intervention (38.5% 
      vs. 18.6%), whereas coronary artery bypass grafting was more common in the old 
      ones (p<0.001). In-hospital death was markedly different among young and old 
      patients (0.9% and 6.1%, respectively; p<0.01). CONCLUSION: In STEMI population, 
      the risk profile, clinical findings and severity of coronary disease of the young 
      differ substantially from the elderly counterparts. Young patients with STEMI 
      have a favorable outcome compared with that in older patients.
FAU - Hosseini, Seyed Kianoosh
AU  - Hosseini SK
AD  - Department of Cardiology, Tehran Heart Center, Tehran University of Medical 
      Sciences, Tehran, Iran. skhoseini@yahoo.com
FAU - Soleimani, Abbas
AU  - Soleimani A
FAU - Karimi, Abbas Ali
AU  - Karimi AA
FAU - Sadeghian, Saeed
AU  - Sadeghian S
FAU - Darabian, Sirous
AU  - Darabian S
FAU - Abbasi, Seyed Hesameddin
AU  - Abbasi SH
FAU - Ahmadi, Seyed Hossein
AU  - Ahmadi SH
FAU - Zoroufian, Arezou
AU  - Zoroufian A
FAU - Mahmoodian, Mehran
AU  - Mahmoodian M
FAU - Abbasi, Ali
AU  - Abbasi A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Italy
TA  - Monaldi Arch Chest Dis
JT  - Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
JID - 9307314
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Demography
MH  - Electrocardiography
MH  - Female
MH  - Hospitalization/*statistics & numerical data
MH  - Hospitals, University/statistics & numerical data
MH  - Humans
MH  - Iran/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis/epidemiology/*therapy
MH  - Registries
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2009/12/02 06:00
MHDA- 2010/01/07 06:00
CRDT- 2009/12/02 06:00
PHST- 2009/12/02 06:00 [entrez]
PHST- 2009/12/02 06:00 [pubmed]
PHST- 2010/01/07 06:00 [medline]
AID - 10.4081/monaldi.2009.331 [doi]
PST - ppublish
SO  - Monaldi Arch Chest Dis. 2009 Jun;72(2):71-6. doi: 10.4081/monaldi.2009.331.