Coronary artery disease in patients aged 35 or less - A different beast?
Aim: To assess the extent and severity of coronary artery disease (CAD) in 200 consecutive patients aged 35 years or less undergoing diagnostic coronary angiography. Patients and Methods: Findings in these 200 patients (≤ 35 years of age) were analyzed to find the extent and severity of CAD. The me...
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2011-01-01
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doaj-866fea2670aa483e8db0dbee3c1a09b72020-11-24T21:00:36ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2011-01-0112171110.4103/1995-705X.81550Coronary artery disease in patients aged 35 or less - A different beast?T ChristusA M ShukkurI RashdanT KoshyM AlanbaeiM ZubaidN HayatA AlsayeghAim: To assess the extent and severity of coronary artery disease (CAD) in 200 consecutive patients aged 35 years or less undergoing diagnostic coronary angiography. Patients and Methods: Findings in these 200 patients (≤ 35 years of age) were analyzed to find the extent and severity of CAD. The mean age was 31.69 (±3.76) years. Majority were males (94%) and from the Arab ethnicity (70.5%). Result: Smoking (71%) and history of premature CAD (27%) were the most frequent risk factors (RF). History of previous ST elevation myocardial infarction (MI) was present in 68%. Anterior wall MI was the most frequent location (63.3%). The majority (54.3%) had moderate or large size MI. Ejection fraction (EF) less than 50% was noted in 30.3%. Left main or triple vessel CAD was seen in 15%. One- and two-vessel CAD was seen in 32.5% and 19% patients, respectively. Coronary angiogram was completely normal in 23.5%. The majority (54.5%) were treated conservatively and the rest (45.5%) needed percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). The mean number of stents used was 1.3 ± 0.67 and the mean length of stents used was 20.3 ± 12.6 mm. Conclusion: The extent and severity of CAD was very significant in this subgroup of very young (≤35 years) Asian patients. Smoking was the main risk factor and half of the patients needed either PCI or CABG.http://www.heartviews.org/article.asp?issn=1995-705X;year=2011;volume=12;issue=1;spage=7;epage=11;aulast=ChristusCoronary artery disease; premature coronary artery diseaseyoung patientsethinicity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
T Christus A M Shukkur I Rashdan T Koshy M Alanbaei M Zubaid N Hayat A Alsayegh |
spellingShingle |
T Christus A M Shukkur I Rashdan T Koshy M Alanbaei M Zubaid N Hayat A Alsayegh Coronary artery disease in patients aged 35 or less - A different beast? Heart Views Coronary artery disease; premature coronary artery disease young patients ethinicity |
author_facet |
T Christus A M Shukkur I Rashdan T Koshy M Alanbaei M Zubaid N Hayat A Alsayegh |
author_sort |
T Christus |
title |
Coronary artery disease in patients aged 35 or less - A different beast? |
title_short |
Coronary artery disease in patients aged 35 or less - A different beast? |
title_full |
Coronary artery disease in patients aged 35 or less - A different beast? |
title_fullStr |
Coronary artery disease in patients aged 35 or less - A different beast? |
title_full_unstemmed |
Coronary artery disease in patients aged 35 or less - A different beast? |
title_sort |
coronary artery disease in patients aged 35 or less - a different beast? |
publisher |
Wolters Kluwer Medknow Publications |
series |
Heart Views |
issn |
1995-705X |
publishDate |
2011-01-01 |
description |
Aim: To assess the extent and severity of coronary artery disease (CAD) in 200 consecutive patients aged 35 years or less undergoing diagnostic coronary angiography.
Patients and Methods: Findings in these 200 patients (≤ 35 years of age) were analyzed to find the extent and severity of CAD. The mean age was 31.69 (±3.76) years. Majority were males (94%) and from the Arab ethnicity (70.5%).
Result: Smoking (71%) and history of premature CAD (27%) were the most frequent risk factors (RF). History of previous ST elevation myocardial infarction (MI) was present in 68%. Anterior wall MI was the most frequent location (63.3%). The majority (54.3%) had moderate or large size MI. Ejection fraction (EF) less than 50% was noted in 30.3%. Left main or triple vessel CAD was seen in 15%. One- and two-vessel CAD was seen in 32.5% and 19% patients, respectively. Coronary angiogram was completely normal in 23.5%. The majority (54.5%) were treated conservatively and the rest (45.5%) needed percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). The mean number of stents used was 1.3 ± 0.67 and the mean length of stents used was 20.3 ± 12.6 mm.
Conclusion: The extent and severity of CAD was very significant in this subgroup of very young (≤35 years) Asian patients. Smoking was the main risk factor and half of the patients needed either PCI or CABG. |
topic |
Coronary artery disease; premature coronary artery disease young patients ethinicity |
url |
http://www.heartviews.org/article.asp?issn=1995-705X;year=2011;volume=12;issue=1;spage=7;epage=11;aulast=Christus |
work_keys_str_mv |
AT tchristus coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT amshukkur coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT irashdan coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT tkoshy coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT malanbaei coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT mzubaid coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT nhayat coronaryarterydiseaseinpatientsaged35orlessadifferentbeast AT aalsayegh coronaryarterydiseaseinpatientsaged35orlessadifferentbeast |
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