A study of risk factors in acute myocardial infarction of adults ages 18 to 45 in a tertiary referral centre for cardiology services in Malaysia's East Coast.
INTRODUCTION: Acute myocardial infarction (AMI) is the major cause of death worldwide. There is limited data on the characteristics of afflicted young adults. A recent increase in recreational drugs has been associated. No local studies have ever reliably attributed this to young adults. This...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | en en |
| Published: |
International Islamic University Malaysia
2022
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/96402/1/96402_A%20study%20of%20risk%20factors%20in%20acute%20myocardial.pdf http://irep.iium.edu.my/96402/7/96402_A%20study%20of%20risk%20factors%20in%20acute%20myocardial%20infarction_Scopus.pdf http://irep.iium.edu.my/96402/ https://journals.iium.edu.my/kom/index.php/imjm/article/view/1598/1251 https://doi.org/10.31436/imjm.v21i1 |
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| Summary: | INTRODUCTION: Acute myocardial infarction (AMI) is the major cause of death
worldwide. There is limited data on the characteristics of afflicted young adults.
A recent increase in recreational drugs has been associated. No local studies have
ever reliably attributed this to young adults. This study aims to study the
characteristic of AMI cases among young adults and these associations.
MATERIALS AND METHODS: This cross-sectional study was conducted at a
tertiary referral centre for Cardiology services, Hospital Tengku Ampuan Afzan
(HTAA), Kuantan, Pahang. It involved screening 818 patients presenting with AMI
at the Emergency Department of HTAA over a one-year duration. Malaysian
citizens aged 18 to 45 years newly diagnosed with AMI were included. Urinary
samples were collected for recreational drug screening. RESULTS: The incidence of
AMI cases among young adults in HTAA Kuantan, Pahang were 10.3 per 100
persons of total AMI cases in one year (95% Confidence Interval, 8.4%-12.6%). Fifty
-eight patients who met the inclusion criteria were recruited, 1.7 % tested positive for
amphetamines. Males made up 96.6% of the patients and the most common risk
factor identified for young adults with AMI was smoking (N=45, 77.6%) followed by
obesity (N=33, 56.9%). More than half (58.6%) of the patients had 3 cardiovascular
disease risk factors or more. CONCLUSION: Recreational drug use at AMI
presentation was negligible. Males made up the majority and smoking was the most
prevalent risk factor. To date, this is the first study in Malaysia looking at the
incidence of young adults with AMI and their preponderant characteristics. |
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