title: High prevalence of obesity in young patients with ST elevation myocardial infarction.
abstract: BACKGROUND
  There is growing concern about increasing rates of obesity in young people, and increasing ST elevation myocardial infarction (STEMI) at a younger age. There are only a few studies performed to study the risk factors in STEMI among young populations.
  
  
  METHODS
  Retrospective chart reviews on all first event STEMI patients between December 2005 and July 2007 were performed. A young population was defined as: men <45 years of age and women <55 years of age.
  
  
  RESULTS
  Among 206 patients with STEMI, 36 were young. In young patients with STEMI, 78 % were obese compared with 35 % obese, non-young (p<0.001). Also, among young patients with STEMI, family history of coronary heart disease (CHD) was positive in 39 %, compared with 19 % in non-young patients (p=0.009). This significance for obesity and family history persisted after adjusting for other risk factors using logistic regression (OR 2.96 to 17.75, 95 % CI, p<0.0001 and OR 1.36 to 7.47, 95 % CI, p=0.008, respectively).
  
  
  CONCLUSIONS
  Obesity and family history of CHD were major risk factors with a higher prevalence in young patients with STEMI than non-young patients.
authors.affiliation: Division of Cardiology, St. Joseph Mercy Oakland, Pontiac, Michigan 48341, USA. drasbasoor@hotmail.com
authors.forename: Abhijeet
authors.initials: A
authors.lastname: Basoor
authors.forename: John F
authors.initials: JF
authors.lastname: Cotant
authors.forename: Gagan
authors.initials: G
authors.lastname: Randhawa
authors.forename: Muhammad
authors.initials: M
authors.lastname: Janjua
authors.forename: Aaref
authors.initials: A
authors.lastname: Badshah
authors.forename: Michele
authors.initials: M
authors.lastname: DeGregorio
authors.forename: Abdul R
authors.initials: AR
authors.lastname: Halabi
authors.forename: Benjamin
authors.initials: B
authors.lastname: Diaczok
authors.forename: Kiritkumar C
authors.initials: KC
authors.lastname: Patel
authors.forename: Paul
authors.initials: P
authors.lastname: Stein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology*; D009765:Obesity / Q000453:epidemiology*; D012044:Regression Analysis; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology