Kardiologia polska | 2021
Acute myocardial infarction in young patients.
BACKGROUND\nAcute myocardial infarction (AMI) is an incredibly destructive disease when it occurs in a young patient. Thus the investigation of the disease presentation and treatment options seem to be particularly important in young patients with AMI.\n\n\nAIMS\nThe study objective was to investigate the differences between young and older patients diagnosed with AMI in terms of clinical characteristics and treatment strategies.\n\n\nMETHODS\nThe patient data come from the National Registry of Procedures of Invasive Cardiology (ORPKI, Ogólnopolski Rejestr Procedur Kardiologii Inwazyjnej). Between 2014 and 2017, the data of more than 230 000 patients with a diagnosis of AMI were collected in that registry. The young patients were defined as under 40 years old.\n\n\nRESULTS\nYoung patients with AMI compared with older patients with AMI were more often men (86.3% vs 65.8%; P <0.001) with higher body weight (mean 85.9 vs 79.7 kg; P <0.001). Young patients with AMI were more often diagnosed with ST-segment elevation myocardial infarction (STEMI; 62.0% vs 50.0%; P <0.001). Moreover, they had more frequently non-significant stenosis in coronary arteries diagnosed (14.4% vs 6.8%; P <0.001). The left anterior descending artery was more frequent an infarct-related artery in young patients (51.3% vs 36.3%; P <0.001). Bioresorbable vascular scaffolds were more commonly implanted in young patients with AMI than in older ones (5.6% vs 0.9%; P <0.001).\n\n\nCONCLUSIONS\nSmoking is the most common risk factor in young adults. The relative number of AMI in young patients is growing.