دورية أكاديمية
Pathology of atherosclerotic coronary artery disease in the young Indian population
| العنوان: | Pathology of atherosclerotic coronary artery disease in the young Indian population |
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| المؤلفون: | Pradeep Vaideeswar, Shashank Tyagi, Saranya Singaravel |
| المصدر: | Forensic Sciences Research, Vol 4, Iss 3, Pp 241-246 (2019) |
| بيانات النشر: | Oxford University Press, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Criminal law and procedure LCC:Public aspects of medicine |
| مصطلحات موضوعية: | forensic sciences, forensic pathology, ischemic heart disease, coronary atherosclerosis, young adults, sudden cardiac death, Criminal law and procedure, K5000-5582, Public aspects of medicine, RA1-1270 |
| الوصف: | Atherosclerotic coronary artery disease (CAD) is of great concern in young adults because of its potential to cause great incapacitation. This arena of cardiology has gained importance in South Asian countries, particularly India due to increased prevalence that is related to traditional risk factors, altered life styles and inherent risk factors. In this study, we sought to evaluate, at autopsy, the pathology of atherosclerotic CAD in young patients with ischemic heart disease (IHD). A 10-year retrospective autopsy-based study was carried out in a large tertiary-care centre and patients aged ≤45 years with IHD were selected. Out of 545 autopsied cases of IHD, 95 patients (17.4%) were young. Among these 95 patients, 84 (88.4%) had IHD related to atherosclerotic CAD; the youngest patient was 18 years old. Predictably there was sole involvement of left anterior descending artery and the presence of fibrous plaques. Irrespective of the plaque morphology, the commonest complication was thrombosis produced by plaque erosion seen in 36.9% of patients. Acute coronary insufficiency was noted in 52 patients (61.9%), while healed infarctions were surprisingly noted in 28 patients (33.3%). Screening for IHD in the young population may help to improve prognosis by detecting subclinical disease, although more studies are necessary to establish reference limits for this young population. Additional research must also focus on treatment concerns that are specific to young patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2096-1790 2471-1411 20961790 |
| Relation: | https://doaj.org/toc/2096-1790; https://doaj.org/toc/2471-1411 |
| DOI: | 10.1080/20961790.2019.1592315 |
| URL الوصول: | https://doaj.org/article/5e82f00e813342b1a69b80344f6118d6 |
| رقم الأكسشن: | edsdoj.5e82f00e813342b1a69b80344f6118d6 |
| قاعدة البيانات: | Directory of Open Access Journals |
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Full Text Finder | تدمد: | 20961790 24711411 |
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| DOI: | 10.1080/20961790.2019.1592315 |