Acute coronary syndrome in young adults: the Thai ACS Registry.

摘要: Background: There are few data regarding acute coronary syndrome (ACS) in young adults. ACS adults may have some characteristics that different from those older patients. Objective: The purpose of the present study was to assess frequency, risk factors, presenting symptoms, treatment, complications and in-hospital outcomes patients with Thailand compared Material Method: From Thai registry database 9,373 consecutive admitted participating hospitals between August 1, 2002 October 31, 2005, authors divided into three age categories: 54 years. Risk type ACS, management, 3 groups were analyzed. Results: Young comprised 5.8% (544 patients) all Discharge diagnosis group ST segment elevation myocardial infarction (STEMI) 67%, non-ST (NSTEMI) 20% unstable angina 14%. more likely an STEMI than their elder counterparts. factors such as tobacco use a family history frequent patients, whereas diabetes hypertension less frequent. Importantly, 66% aged <45 years had use. A higher percentage underwent angiography, percutaneous intervention received aspirin, thienopyridines, GP IIb/ IIIa antagonists, beta-blockers statins. In reperfusion therapy given frequently < 45 Younger lower mortality rate, incidence congestive heart failure shorter length stay. Multivariable analysis revealed remained independent predictor death. Conclusion: Thailand, under old. frequency differs elderly current management aggressive factor modification quite good overall is Primary preventive measures aimed at preventing our youth adopting should be implemented nationally.