[Myocardial infarction in the young: evolution and clinico-coronarographic correlation (author's transl)].
Fifty patients who suffered from an acute myocardial infarction at age 40 or below and underwent coronary arteriography, were studied from 8 to 184 months after the infarction (mean follow-up 56 months). Hyperlipidaemia (60%) and cigarette-smoking (82%) were the most common risk factors, while hypertension and diabetes mellitus were found in 10% of all patients. Thirty-seven patients had two or more risk factors. Preinfarction angina was present in 7 subjects. Death rate was 14% within five years and was related to the severity of symptoms. Out of the patients with normal coronary arteriogram (6 patients) or with a single vessel disease 21 were free of angina and 30 did not suffer a reinfarction. Out of 17 patients with two or more coronary vessel disease, angina was present in 14 and reinfarction was seen in 5.
D000328:Adult; D000367:Age Factors; D003276:Contraceptives, Oral / Q000009:adverse effects; D017023:Coronary Angiography; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications; D006973:Hypertension / Q000150:complications; D007558:Italy; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000453:epidemiology* / Q000209:etiology; D009765:Obesity / Q000150:complications; D012737:Sex Factors; D012907:Smoking / Q000150:complications
D003276:Contraceptives, Oral
L'infarto miocardico in età giovanile. Evoluzione e correlazioni clinico-coronarografiche.