PMID- 3820578 OWN - NLM STAT- MEDLINE DCOM- 19870410 LR - 20190824 IS - 0021-4868 (Print) IS - 0021-4868 (Linking) VI - 27 IP - 5 DP - 1986 Sep TI - Coronary artery disease in patients aged 30 and younger. PG - 679-84 AB - Twenty-four male patients aged 18-30 (mean = 27.4) years were catheterized either after myocardial infarction (22 patients) or because of angina pectoris (2 patients). In this highly-selected group, 18 of 24 smoked but only 5 had elevated cholesterol levels. Of 14 patients with anterior myocardial infarction (AMI), 7 had a significant left anterior descending obstruction while the other 7 had nonsignificant or no coronary stenosis. In 8 patients with inferior MI (IMI), 4 had significant multivessel disease. Five of 6 patients with multivessel disease smoked while 4 had hypercholesterolemia. Risk factors were absent in 3 of 16 patients with single or no coronary lesions. We conclude that angina pectoris and inferior MI carry high risk of multivessel coronary disease; there is often one or more risk factor in this subgroup. Finally, routine catheterization in young patients with AMI is not warranted. FAU - Hayat, N AU - Hayat N FAU - Mohamed, M AU - Mohamed M FAU - Simo, M AU - Simo M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Jpn Heart J JT - Japanese heart journal JID - 0401175 RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Angina Pectoris/complications/diagnostic imaging/epidemiology MH - Cardiac Catheterization MH - Cholesterol/blood MH - Coronary Angiography MH - Coronary Disease/complications/diagnostic imaging/*epidemiology MH - Humans MH - Hypercholesterolemia/complications MH - Japan MH - Male MH - Myocardial Infarction/complications/diagnostic imaging/epidemiology MH - Risk MH - Sex Factors MH - Smoking EDAT- 1986/09/01 00:00 MHDA- 1986/09/01 00:01 CRDT- 1986/09/01 00:00 PHST- 1986/09/01 00:00 [pubmed] PHST- 1986/09/01 00:01 [medline] PHST- 1986/09/01 00:00 [entrez] AID - 10.1536/ihj.27.679 [doi] PST - ppublish SO - Jpn Heart J. 1986 Sep;27(5):679-84. doi: 10.1536/ihj.27.679.