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THURSDAY, March 7, 2019 (HealthDay News) — Patients with myocardial infarction (MI) at age 40 years or younger have similar long-term all-cause and cardiovascular death rates as patients aged older than 40 years, according to a study presented at the annual meeting of the American College of Cardiology, held from March 16 to 18 in New Orleans.<\/p>\n
Junjie Yang, Ph.D., from Brigham and Women’s Hospital in Boston, and colleagues examined patients aged \u226450 years admitted with a type 1 MI to two large hospitals. Using all records and death certificates, the cause of death was adjudicated.<\/p>\n
The researchers found that 431 of the 2,097 young patients (20 percent) with type 1 MI were \u226440 years of age. Younger patients (mean age, 36 years) had greater rates of substance abuse compared with patients aged >40 years (mean age, 46 years; 17.9 versus 9.3 percent; P < 0.001). A similar prevalence for risk factors, including diabetes, hypertension, smoking, family history of premature MI, and dyslipidemia, was observed between the groups. Among very young patients, there was a trend toward less use of aspirin and statin upon discharge (P = 0.076 and 0.071, respectively). During a median follow-up of 11.2 years, all-cause and cardiovascular mortality were similar for patients having an MI at age \u226440 years versus age 40 to 50 years.<\/p>\n
“It’s really important for us to understand why people are actually having heart attacks at a younger age, when there is even more productive life lost,” a coauthor said in a statement.<\/p>\n
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