Coronary artery disease in young adults: Angiographic study - A single-center experience

Background and Objectives: Premature coronary artery disease (PCAD) seems to increase, particularly in developing countries. There are fewer data regarding myocardial infarction in young adults, with varying risk factors and patterns of coronary involvement. This study was done to present the corona...

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Main Authors: G Suresh, K Subramanyam, Srinivasa Kudva, Rama Prakasha Saya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=4;spage=132;epage=135;aulast=Suresh
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author G Suresh
K Subramanyam
Srinivasa Kudva
Rama Prakasha Saya
author_facet G Suresh
K Subramanyam
Srinivasa Kudva
Rama Prakasha Saya
author_sort G Suresh
collection DOAJ
description Background and Objectives: Premature coronary artery disease (PCAD) seems to increase, particularly in developing countries. There are fewer data regarding myocardial infarction in young adults, with varying risk factors and patterns of coronary involvement. This study was done to present the coronary angiographic characteristics of CAD in young patients aged <40 years. Materials and Methods: In this cross-sectional record-based study, patients aged <40 years who were evaluated angiographically for chronic stable angina or acute coronary syndrome were included. Single vessel disease (SVD), double vessel disease (DVD), and triple vessel disease (TVD) were noted down. Onset of CAD before 40 years of age was considered as PCAD. Results: A total of 4526 cases underwent coronary angiogram between January 2008 and December 2014; 154 (3.40%) were <40 years of age with a mean (standard deviation) age of 36.51 (±3.654) years. In <40 years age group, nearly third-fourth of the cases (112, 72.73%) had critical CAD; among them, 98 (87.5%) were male and 14 (12.5%) were female. About two-third of the cases (74, 66.07%) had SVD, followed by DVD (25, 22.32%) and TVD (13, 11.61%). Conclusions: Incidence of critical CAD in young adults is quite high. Young patients with CAD are mainly males, and SVD is more common. Emphasis should be given on diagnosis and management of risk factors in this vulnerable group.
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spelling doaj.art-1b19992baa4042c7abddb39dae8e6cde2022-12-21T23:24:49ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2016-01-014413213510.4103/2321-449x.196282Coronary artery disease in young adults: Angiographic study - A single-center experienceG SureshK SubramanyamSrinivasa KudvaRama Prakasha SayaBackground and Objectives: Premature coronary artery disease (PCAD) seems to increase, particularly in developing countries. There are fewer data regarding myocardial infarction in young adults, with varying risk factors and patterns of coronary involvement. This study was done to present the coronary angiographic characteristics of CAD in young patients aged <40 years. Materials and Methods: In this cross-sectional record-based study, patients aged <40 years who were evaluated angiographically for chronic stable angina or acute coronary syndrome were included. Single vessel disease (SVD), double vessel disease (DVD), and triple vessel disease (TVD) were noted down. Onset of CAD before 40 years of age was considered as PCAD. Results: A total of 4526 cases underwent coronary angiogram between January 2008 and December 2014; 154 (3.40%) were <40 years of age with a mean (standard deviation) age of 36.51 (±3.654) years. In <40 years age group, nearly third-fourth of the cases (112, 72.73%) had critical CAD; among them, 98 (87.5%) were male and 14 (12.5%) were female. About two-third of the cases (74, 66.07%) had SVD, followed by DVD (25, 22.32%) and TVD (13, 11.61%). Conclusions: Incidence of critical CAD in young adults is quite high. Young patients with CAD are mainly males, and SVD is more common. Emphasis should be given on diagnosis and management of risk factors in this vulnerable group.http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=4;spage=132;epage=135;aulast=SureshCoronary artery diseasecriticalincidenceIndiapremature
spellingShingle G Suresh
K Subramanyam
Srinivasa Kudva
Rama Prakasha Saya
Coronary artery disease in young adults: Angiographic study - A single-center experience
Heart India
Coronary artery disease
critical
incidence
India
premature
title Coronary artery disease in young adults: Angiographic study - A single-center experience
title_full Coronary artery disease in young adults: Angiographic study - A single-center experience
title_fullStr Coronary artery disease in young adults: Angiographic study - A single-center experience
title_full_unstemmed Coronary artery disease in young adults: Angiographic study - A single-center experience
title_short Coronary artery disease in young adults: Angiographic study - A single-center experience
title_sort coronary artery disease in young adults angiographic study a single center experience
topic Coronary artery disease
critical
incidence
India
premature
url http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=4;spage=132;epage=135;aulast=Suresh
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AT ksubramanyam coronaryarterydiseaseinyoungadultsangiographicstudyasinglecenterexperience
AT srinivasakudva coronaryarterydiseaseinyoungadultsangiographicstudyasinglecenterexperience
AT ramaprakashasaya coronaryarterydiseaseinyoungadultsangiographicstudyasinglecenterexperience