Epidemiological profile of very young STEMI patients : Post-hoc analysis of 25 year-long study

• Published in: Archives of Cardiovascular Diseases Supplements Vol. 14; no. 1; pp. 18 - 19
• Main Authors: Aiman, G., Chamtouri, I., Amdouni, N., Ben Hamda, K., Maatouk, F.
• Format: Journal Article
• Language: English
• Published: Elsevier Masson SAS 01.01.2022
• ISSN: 1878-6480
• DOI: 10.1016/j.acvdsp.2021.09.037

Coronary artery disease is often thought to be associated with older age. Nowadays the number of young adults suffering from CAD is increasing. Such pattern needs to be studied carefully to identify high risk patients. To study the epidemiological profile of the very young (≤40 years) adults presenting with ST-segment elevation myocardial infraction. Over the 25 years period, 1609 STEMI patients were admitted to our university hospital. This post-hoc analysis included patients aged 40 years old or less. Then we compared their characteristics to a control group of patients>40 years. There were 90 patients meeting the inclusion criteria representing 5,59% of the total population. The mean age was 35 years. 91,1% were males and 77% were active smokers. Diabetes was found in 20% of patients, hypertension was found in 8,9%, dyslipidaemia was found in 11,1% and obesity in 65%. There was a significant difference in cardiovascular risk factors profile: older patients had more diabetes and hypertension whereas the very young group had more smokers. There was no significant difference in dyslipidaemia. Very young adults presenting with acute myocardial infarction have different characteristics compared to older subjects.