Acute Myocardial Infarction in The Young Age Group Patients in Srinagarind Hospital: A Descriptive Study

Main Article Content

Thapanawong Mitsungnern
Wisut Sukeepaisarncharoen
Songsak Kiatchusakul
Tanet Rungseekajee

Abstract

Background and Objectives: Acute  myocardial  infarction  (AMI)  is  one  of  the  most  common  cause  of  death  in  Thailand  and  worldwide,  but  it  is  rarely  seen  in  young  adult  especially  whose  age  below  45  years  old.  Surprisingly,  there  was  no  study  in  Thailand,  although  there  are  many  studies  in  other  countries. This study aims to explore  co morbidity,  death rate  and  outcome  of  AMI  in  the  young  adult.

Methods: Retrospective  descriptive  study,  52  patients who  diagnose  AMI  age  group  between  15-44  year-old,  medical  record  were  collected  and  reviewed  about  co morbidity,  age,  and gender.  Data  were  analysed  using  percentage,  mean,  and  standard  deviation  by  SPSS version 16.

Results: The  co-morbidity  of  AMI  in  the  young  adult  were  82.7%  dyslipidemia,  48.1%  current  smoker,  28.8%  obesity,  23.1%  20.9% diabetes mellitus alcoholic drinking,  20.1%  hypertension,  17.3%  overweight,  15.4%  previous CAD,  5.8%  family  history  of  premature  CAD,  and  1.9%  substance abuse.  Death  rate  of  ST  segment  Elevated  Myocardial  Infarction  (STEMI)  in  young  adult was  10.8%,  and  no  one  was  dead  in  Non  ST-segment  Elevated  Myocardial  Infarction  (NSTEMI)  group.  There  were  18.7%  of  patients  had  cardiac  arrest  in  STEMI  group  and  6.7%  in  NSTEMI group.  There  were  higher  rate  of  immediate  complications  in  STEMI  group  (78.4%)  than  NSTEMI  group  (46.7%).  Common  immediate  complications  in  STEMI  in  the young  were  cardiogenic  shock  and  heart  failure,  and  in  NSTEMI  group  were  heart  failure  and  arrhythmias,  but  no  cardiogenic  shock.

Conclusion: The  three  common  co-morbidity  of  AMI  in  the  young  were  dyslipidemia,  current  smoking,  and  obesity,  consecutively.  The  death  rate  of  STEMI  was  10%  while  no  one  was  dead  in  NSTEMI  in  young  adult.  78.4%  in  STEMI  group  and  46.7%  in  NSTEMI  group  had  complications.

Keywords: Acute  myocardial  infarction (AMI),  young  age,  co-morbidity,  co-morbidity,  and  complication.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Mitsungnern T, Sukeepaisarncharoen W, Kiatchusakul S, Rungseekajee T. Acute Myocardial Infarction in The Young Age Group Patients in Srinagarind Hospital: A Descriptive Study. SRIMEDJ [Internet]. 2013 Nov. 11 [cited 2022 Oct. 3];28(3):274-81. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/13327
Section
Original Articles