High prevalence of smoking in young patients with acute myocardial infarction.
Of 35 patients with acute myocardial infarction (AMI) at the age of 40 years or less, 32 (91%) smoked and only three patients were non-smokers. The age at AMI related significantly to the extent of smoking (p < 0.001, Kruskall-Wallis test). Five patients with AMI at the age < 30 years smoked more heavily than the 30 with AMI at the age of 30-40 years (p = 0.04, Mann Whitney U test). Heavy smoking men > 30 years at the AMI had a Q-wave infarction as often (11 of 13 (85%)) as those with multivessel disease or a coronary artery occlusion (8 of 9 (89%) and 14 of 16 (88%) respectively) on coronary arteriography after the infarction. Smoking may be the most important modifiable risk factor in young patients with AMI.
von Eyben
F E
FE
Dept. of Internal Medicine, Herning Centralhospital, Denmark.
Bech
J
J
Madsen
J K
JK
Efsen
F
F
D000328:Adult; D017668:Age of Onset; D003327:Coronary Disease / Q000150:complications; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology / Q000473:pathology / Q000517:prevention & control*; D015995:Prevalence; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects*