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- Title
Charakterystyka angiograficzna różnych typów zawału mięśnia sercowego u młodych dorosłych.
- Authors
Pentsak, Yaryna; Faynyk, Andriy; Onutska, Yuliia
- Abstract
BACKGROUND Myocardial infarction (MI) relatively rarely occurs in young adults. However, early diagnosis of MI type is highly important for future treatment and outcomes. AIMS To evaluate clinical and angiographic characteristics of young adults with MI. METHODS A total of 183 patients aged 44 years or younger with diagnosed MI who underwent angiography in Lviv Regional Cardiology Center in 2015–2019 were included in this study. Laboratory tests, ECG, echocardiographic and angiographic findings, risk factors profile were assessed retrospectively in the groups of patients with type 1 and type 2 MI. RESULTS Among 183 patients women (mean age, 40.86 ±3.16 years) made up 14 (7.65%) and all of them had type 1 MI. The most common presentation in this group was single vessel disease 13 (92.85%) and just 1 patient had multivessel disease. Type 1 MI was diagnosed in 146 (86.39%) men with the mean age of 40.04 ±3.77 years. Single vessel disease with critical atherosclerotic coronary lesions was found in 64.8% of the patients, others had multivessel disease. The predominant infarct‑related coronary artery was left anterior descending artery – 50.27%, followed by the right coronary artery – 27.23% and left circumflex coronary artery – 9.84%. The most common risk factors among the patients with the type 1 MI included smoking (62.9%), hypertension (57.2%) and obesity (42.1%). Diabetes mellitus occurred in 9.4% of them. Type 2 MI was verified in 13.61% among all the patients (mean age, 33 ±6.9 years). The most prevalent causes of type 2 myocardial infarction were myocardial bridge – 26.8%, thrombosis – 8.69%, vasospasm – 17.39%, vasospasm followed by thrombosis – 8.69%, slow‑flow syndrome – 4.35% and others (noninfective myocarditis) – 34.75%. CONCLUSIONS Type 2 MI in young men is not clearly connected with the duration of risk factors for atherosclerosis and occurs in younger population. However, MI size highly depends on hypercoagulation, especially associated with vasospasm. High incidence of multivessel coronary artery disease among young men relates to combination of different risk factors. Absence of type 2 MI among women in our study is associated with low different MI types incidence among young women.
- Subjects
MYOCARDIAL infarction diagnosis; MYOCARDIAL infarction risk factors; THROMBOSIS complications; OBESITY complications; ANGIOGRAPHY; CONFERENCES &; conventions; CORONARY arteries; CORONARY disease; CORONARY vasospasm; HYPERTENSION; MYOCARDIAL infarction; SMOKING; DISEASE complications; ADULTS
- Publication
Polish Heart Journal / Kardiologia Polska, 2020, Vol 78, p49
- ISSN
0022-9032
- Publication type
Article