دورية أكاديمية
Risk Factors, Use of Revascularization, and Outcomes in Young Adults With ST-Elevation Myocardial Infarction.
| العنوان: | Risk Factors, Use of Revascularization, and Outcomes in Young Adults With ST-Elevation Myocardial Infarction. |
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| المؤلفون: | King SJ; Department of Medicine, Stanford University. Palo Alto, California., Patel R; Division of Cardiology, University of North Carolina, Chapel Hill, North Carolina; The McAllister Heart Institute, University of North Carolina, Chapel Hill, North Carolina., Arora S; Division of Cardiology, University of North Carolina, Chapel Hill, North Carolina; The McAllister Heart Institute, University of North Carolina, Chapel Hill, North Carolina., Stouffer GA; Division of Cardiology, University of North Carolina, Chapel Hill, North Carolina; The McAllister Heart Institute, University of North Carolina, Chapel Hill, North Carolina. Electronic address: rstouff@med.unc.edu. |
| المصدر: | The American journal of cardiology [Am J Cardiol] 2024 Aug 15; Vol. 225, pp. 142-150. Date of Electronic Publication: 2024 Jul 02. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0207277 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1913 (Electronic) Linking ISSN: 00029149 NLM ISO Abbreviation: Am J Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Excerpta Medica |
| مواضيع طبية MeSH: | ST Elevation Myocardial Infarction*/epidemiology , ST Elevation Myocardial Infarction*/surgery , Myocardial Revascularization*/statistics & numerical data, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Risk Factors ; Aged ; Age Factors ; New York/epidemiology ; Adult ; Incidence |
| مستخلص: | The incidence of acute myocardial infarction is increasing in younger age groups, with differences in treatment and outcomes based on gender. ST-elevation myocardial infarction (STEMI) in young adults, however, is incompletely understood as most of the current studies were performed in homogenous populations, did not focus on STEMI, and lack direct comparisons with older adults. We performed a retrospective observational study using the Statewide Planning And Research Cooperative System for all admissions in New York State with a principal diagnosis of STEMI from 2011 to 2018. There were 58,083 STEMIs with the majority being male (68.2%) and non-Hispanic White (64.8%), with an average age of 63.9 ± 13.9 years. Of these, 8,494 (14.6%) occurred in patients aged <50 years. The proportion of STEMIs in women increased with age, from 19.2% in the <50-year-old age group to 48.9% in the ≥70-year-old age group. Young adults with STEMI had greater prevalence of obesity, current tobacco use, other substance use, and major psychiatric disorders, were more likely to receive revascularization, and had lower 1-year mortality than older age groups. Revascularization was associated with at least a 3 times lower odds ratio of 1-year mortality in all age groups. In conclusion, young adults with STEMI had a unique set of risk factors and co-morbidities and were more likely to undergo revascularization than older age groups. In all age groups, female gender was associated with a higher burden of co-morbidities, decreased use of revascularization, and increased 1-year mortality. Competing Interests: Declaration of competing interest The authors have no competing interests to declare. This publication was produced from raw data purchased from or provided by the New York State Department of Health (NYSDOH). The conclusions derived, calculations, and views expressed herein are those of the authors and do not reflect the conclusions or views of NYSDOH. NYSDOH, its employees, officers, and agents, make no representation, warranty, or guarantee as to the accuracy, completeness, currency, or suitability of the information provided here. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: PCI; STEMI; mortality; risk factors |
| تواريخ الأحداث: | Date Created: 20240704 Date Completed: 20240731 Latest Revision: 20240731 |
| رمز التحديث: | 20240801 |
| DOI: | 10.1016/j.amjcard.2024.06.029 |
| PMID: | 38964529 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1879-1913 |
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| DOI: | 10.1016/j.amjcard.2024.06.029 |