CLINICAL DATA AND HEMODYNAMIC PARAMETERS IN YOUNG ADULTS WITH ACUTE CORONARY SYNDROME

Aim.. To study the clinical and demographic data and hemodynamic parameters in patients with acute coronary syndrome (ACS) in young adults.

Methods. 299 patients with ACS aged under 45 years admitted to the Department of Acute Myocardial Infarction (AMI) were enrolled in the study. The inclusion criteria were as follows: young adults under 45 years and the confirmed diagnosis of ACS. 53 healthy volunteers were included in the control group.

Results. High risk of early developing ACS was established for young adults who were current smokers, had some form of dyslipidemia, overweight and suffered from arterial hypertension as well as those who had genetic predisposition to early development of cardiovascular disease. The most prevalent outcome of ACS was STEMI. 65.8% of patients underwent percutaneous coronary intervention (PCI). According to coronary angiography (CAG) findings, half patients had single-vessel coronary disease with predominant atherosclerotic lesions of the left anterior descending artery (LAD). Q-wave MI was commonly detected by routine ECG. 80% of patients had one hypokinetic segment. The study group commonly had anterior myocardial infarction. 12% of cases were complicated by left ventricular aneurysms.

Conclusion. 299 young adults with ACS were admitted to the Altai Regional Cardiology Dispensary over 5 years. Most of patients had STEMI by routine ECG. Men suffered from ACS 6 times higher than women. This group of patients had the following traditional risk factors: smoking, arterial hypertension, overweight, and family history of cardiovascular disease. According to the CAG findings, half patients had single-vessel coronary disease, which was commonly associated with atherosclerotic lesion of the LAD. Few patients had atherosclerotic lesions of the right coronary artery and circumflex artery. Q-wave MI was commonly detected by routine ECG. 80% of patients had one hypokinetic segment.

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