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AmJCaseRep

Characteristics of young patients aged under 35 with acute coronary syndrome

Agnieszka Dębska, Małgorzata Lelonek

Med Sci Tech 2007; 48(3): RA177-182

ID: 881564

Available online:

Published: 2007-03-20


Introduction: An increasing number of young people hospitalized due to an acute coronary syndrome (ACS) forces us to focus an our attention on this special group of patients. The aim of this study was to characterize the young patients with ACS under 35 years old with regard to the clinical, biochemical and angiographic results. Material and Methods: Studied group included 35 pts hospitalized due to ACS. According to the coronarography results patients were stratified into groups: the 1st group consisted of 16 pts (M/F – 14/2; mean age-29.8 ± 3.6 yr) without critical coronary stenoses and the 2nd group included 19 pts (M/F – 15/4; mean age-33.1 ± 3.2 yr) with critical stenoses. In all the patients clinical, biochemical and angiographic profiles were analyzed. Results: In the total ACS group the most common classical cardiac risk factors were: smoking and burdening family history. Almost all the patients experienced ST segment elevation myocardial infarction - STEMI (P<0.000) and urgent coronarography, with critical one-vessel stenoses result (P<0.01). No one suffered from an impairment of left ventricular ejection fraction (LVEF). Among the patients with critical coronary stenoses the following features were more often found: arterial hypertension (P<0.01), stronger disturbances in the lipid’s concentration, higher value of the inflammatory indicators, serious complications due to ACS, predominance of critical single vessel stenoses (P<0.01), with the most frequent localization in the right coronary artery and more stent implantations (P<0.001). Conclusions: Our investigation suggests that young patients with ACS are mainly smoking men with burdening family history, who experienced STEMI, with one-vessel disease in coronarography, predominantly the RCA involvement, without impairment of LVEF. (Clin Exp Med Lett 2007; 48(3):177-182)

Keywords: young patients, acute coronary syndrome (ACS), coronarography



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