Abstract : AIMS OF THE STUDY The study evaluated in-hospital and long-term outcome of patients less than 50 ye
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Abstract : AIMS OF THE STUDY The study evaluated in-hospital and long-term outcome of patients less than 50 years old with myocardial infarction within 12 hours after symptom onset treated by coronary angioplasty.|PATIENTS AND METHOD This is a retrospective study with survival analysis by Kaplan-Meier method in patients included from December 2003 to February 2008.|RESULTS We included 93 patients aged 428+/-52 years old with smoking estimated at 277+/-127 pack-years. Thirty-one patients (333) were dyslipidemic and 36 patients had family history of coronary artery disease. Thirty patients (323) had an anterior myocardial infarction and four patients (4.4) had Killip greater than 2. Coronary angioplasty was performed within 4.5+/-3.0 hours after symptom onset with TIMI 3 final flow in the culprit vessel in 96.8. One patient died from cardiogenic shock. With a follow-up of 85 patients during 20.0+/-15.6 months the survival without death was 98.2 and survival without major cardiac complication was 87.9 at 24 months. Seventy-two patients (85.7) were taking a betablocker 81 patients (96.4) aspirin 75 patients (89.3) a statin and 64 patients (76.2) an angiotensin-converting inhibitor. Only 50 patients (58.8) were nonsmokers.|CONCLUSION: Thus, young smokers with acute MI treated by coronary angioplasty have a good prognosis during in-hospital stay and long-term outcome. Secondary medical treatment prevention is well followed but there is a low rate of smoking cessation.|
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