ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP DƯỚI 40 TUỔI

Abstract

Background: Acute myocardial infarction usually occurs in middle-aged and older people. However, there is an increase in incidence of acute myocardial infarction in younger adults, especially in patients aged ≤ 40. Objectives: To study clinical features and coronary artery lesions and treatment of adults under 40 years of age with acute myocardial infarction. Materials and methods: A cross-sectional study was conducted on 90 patients with myocardial infarction who underwent coronary angiography at Can Tho Central General Hospital in 2020-2022 and they were divided into 2 groups: ≤ 40 and > 40 years old. Chest pain characteristics, vital signs, risk factor profile, laboratory test results, electrocardiographic and echocardiographic findings, coronary angiographic findings were assessed. Treatment results were evaluated using clinical and imaging. Results: Among 90 patients, 43 (47.8%) were ≤ 40 years of age. The mean patient age in this group was 35.7 ± 4.5 years and men made up 100% of the study sample. When compared with their older counterparts, patients aged ≤ 40 had less hypertension (41.9% vs 80.9%) and less diabetes (9.3% vs 31.9%). The most common presentation was ST segment elevation myocardial infarction (67.4%). The single-vessel disease was identified in 83.7% of patients. The most common location of coronary lesions was the left anterior descending artery (69.8%). The success rate of the procedure was

94.1% and the clinical success rate was 91.2%. Conclusions: Most of patients ≤ 40 years old with acute myocardial infarction are male with classical risk factors. Single vessel disease and ST segment elevation myocardial infarction presentation are predominant in young patients. primary coronary intervention gives good results.