Acute Coronary Syndrome : The Risk to Young Women
Ricci, Beatrice (University of Bologna)
Cenko, Edina (University of Bologna)
Vasiljevic, Zorana (University of Belgrade)
Stankovic, Goran (University of Bologna)
Kedev, Sasko (University "Ss. Cyril and Methodius")
Kalpak, Oliver (University "Ss. Cyril and Methodius")
Vavlukis, Marija (University "Ss. Cyril and Methodius")
Zdravkovic, Marija (University of Belgrade)
Hinic, Sasa (University of Belgrade)
Milicic, Davor (University of Zagreb)
Manfrini, Olivia (University of Bologna)
Badimon, Lina (Institut d'Investigació Biomèdica Sant Pau)
Bugiardini, Raffaele (University of Bologna)
Universitat Autònoma de Barcelona

Date:	2017
Abstract:	Although acute coronary syndrome () mainly occurs in patients >50 years, younger patients can be affected as well. We used an age cutoff of 45 years to investigate clinical characteristics and outcomes of "young" patients with . Between October 2010 and April 2016, 14 931 patients with ACS were enrolled in the ISACS-TC (International Survey of Acute Coronary Syndromes in Transitional Countries) registry. Of these patients, 1182 (8%) were aged ≤45 years (mean age, 40. 3 years; 15. 8% were women). The primary end point was 30-day all-cause mortality. Percentage diameter stenosis of ≤50% was defined as insignificant coronary disease. ST-segment-elevation myocardial infarction was the most common clinical manifestation of in the young cases (68% versus 59. 6%). Young patients had a higher incidence of insignificant coronary artery disease (11. 4% versus 10. 1%) and lesser extent of significant disease (single vessel, 62. 7% versus 46. 6%). The incidence of 30-day death was 1. 3% versus 6. 9% for the young and older patients, respectively. After correction for baseline and clinical differences, age ≤45 years was a predictor of survival in men (odds ratio, 0. 24; 95% confidence interval, 0. 10-0. 58), but not in women (odds ratio, 1. 35; 95% confidence interval, 0. 50-3. 62). This pattern of reversed risk among sexes held true after multivariable correction for in-hospital medications and reperfusion therapy. Moreover, younger women had worse outcomes than men of a similar age (odds ratio, 6. 03; 95% confidence interval, 2. 07-17. 53). at a young age is characterized by less severe coronary disease and high prevalence of ST-segment-elevation myocardial infarction. Women have higher mortality than men. Young age is an independent predictor of lower 30-day mortality in men, but not in women. URL: . Unique identifier: NCT01218776.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Acute coronary syndrome ; Women ; Young ; Cardiovascular Disease
Published in:	Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol. 6 (december 2017) , ISSN 2047-9980

DOI: 10.1161/JAHA.117.007519
PMID: 29273636

11 p, 425.9 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
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