Acut myocardial infraction in young (< 50 y) patients: epidemiology and procedural features
Baranyai Csaba1, Tóth Eszter Margi2, Márk László2, Jambrik Zoltán1
1Békés Megyei Központi Kórház, Invazív Kardiológiai Részleg, Gyula
2Békés Megyei Központi Kórház, Kardiológiai Osztály, Gyula
The cardiovascular disease shows a progressive nature. The acute myocardial infarction as a severe manifestation of a coronary heart disease usually occurs after 60 years of age. The aim of our study was to identify the risk profile and procedural features of patients with myocardial infarction younger than 50 years in our hospital.
Results: Overall 99 patients under 50y has been admitted to our hospital with myocardial infarction between Apr 2016 and Dec 2017. The mean age was 44±5,6 years, 72% of them was a male. A significant discrepancy between the risk profile know by the patients at the index event and the verified risk factors at admission was found (as hypertonia, hyperlipidaemia). A very high prehospital transit time till the hospital admission (976 min) was observed, what can be caused by the patients’ own delay. The need of prehospital reanimation was high in our young STEMI population (11.5%).
Summary: Myocardial infarction in younger than 50 years patients develops on a high cardiovascular risk basis and cardiac arrest frequently requires cardiopulmonary resuscitation.