2018, Number 1
Rev Cubana Cardiol Cir Cardiovasc 2018; 24 (1)
Acute myocardial infarction in patients under 50 years of age at the 'Arnaldo Milián Castro' Hospital
Estévez RY, Cairo SG, Quintero VI, Pérez RRM, González LD
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ABSTRACTIntroduction: Acute myocardial infarction (AMI) affects every time a younger population.
Objetives: To characterized AMI in patients younger than 50 years.
Methods: 52 patients younger than 50 years-old admitted in the Center for Cardiologic Diagnosis of the University Hospital "Arnaldo Milián Castro" of Villa Clara, between October 2014 and December 2016, with diagnosis of IAM and enzymatic confirmation. The variables, age, sex, topography and type of IAM, type treatment (thrombolytic, primary coronary intervention (PCI) or non-reperfusion intervention) and factors of risk were included in the study.
Results: The mean age was 43 ± 7 years, the masculine sex prevailed (p ‹ 0.05), the IAM with ST elevation was the most frequent with 71.2%. The most frequent risk factors were smoking and hypertension. The inferior infarcts were the most frequent and 26.9% of patients were complicated, the most frequent complications were mechanicals. Thrombolytic treatment or PCI were the therapeutics used for coronary reperfusion. About half of the patients received reperfusion treatment, 48.6% thrombolysis and 3.8% PCI.
Conclusions: Most of infarcted patients younger than 50 years were men, complications were not very frequent and the patients that received early thrombolysis had a better short-term outcome, this bring about the need to improve the proportion of patients that receive reperfusion therapy.