Comparison of traditional risk factors, natural history and angiographic findings between coronary heart disease patients with age < 40 and >= 40 years old

Objective: In this study we aimed to examine the angiographic findings,traditional risk factors and natural history of Turkish patients <40 and 2:40 years old with coronary heart disease (CHD). Methods: The records of 491 patients with stable angina pectoris or acute coronary syndrome (ACS), who had undergone coronary angiography (CAG) were reviewed. The patients <40 years (group 1) and 40 years (group 2) were compared. Results: The study population was classified as group 1 with 240 patients (mean age 35.7 +/- 3.4years) and group 2 with 251 patients (mean age 61.0 +/- 9.7 years). Smoking, family history, hypercholesierolemia, hypertriglyceridemia and low levels of high-density lipoprotein cholesterol were more prevalent in group 1 while diabetes mellitus, hypertension was higher in group 2. The common presentation among <40 years patients was ACS whereas stable angina was the most common presentation in patients >= 40 years old. Patients in group 1 showed a preponderance of single-vessel disease whereas patients of group 2 showed dominance of multivessel disease. Early clinical course of patients with ACS in group 1 was better than in group 2. Conclusion: Our study shows a significantly different clinical, angiographic and biochemical profile in <40years patients with CHD compared with 40 years patients. Dominance of smoking and dyslipidemias that are the preventable risk factors in premature CHD patients is an important threat for our community health. Healthy life styles should be encouraged beginning from young ages and new precautions about smoking must be taken.

Yazar Yildirim, Nesliguel
Arat, Nurcan
Dogan, Mesut Sait
Soekmen, Yeliz
Oezcan, Firat
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2291
Konu Başlıkları coronary heart disease
young adults
old adults
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ANATOLIAN JOURNAL OF CARDIOLOGY
Dergi Cilt Bilgisi 7
Dergi Sayısı 2
Sayfalar 124 - 127
Yayın Yılı 2007
Eser Adı
[dc.title]
Comparison of traditional risk factors, natural history and angiographic findings between coronary heart disease patients with age < 40 and >= 40 years old
Yazar
[dc.contributor.author]
Yildirim, Nesliguel
Yazar
[dc.contributor.author]
Arat, Nurcan
Yazar
[dc.contributor.author]
Dogan, Mesut Sait
Yazar
[dc.contributor.author]
Soekmen, Yeliz
Yazar
[dc.contributor.author]
Oezcan, Firat
Yayın Yılı
[dc.date.issued]
2007
Yayıncı
[dc.publisher]
TURKISH SOC CARDIOLOGY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: In this study we aimed to examine the angiographic findings,traditional risk factors and natural history of Turkish patients <40 and 2:40 years old with coronary heart disease (CHD). Methods: The records of 491 patients with stable angina pectoris or acute coronary syndrome (ACS), who had undergone coronary angiography (CAG) were reviewed. The patients <40 years (group 1) and 40 years (group 2) were compared. Results: The study population was classified as group 1 with 240 patients (mean age 35.7 +/- 3.4years) and group 2 with 251 patients (mean age 61.0 +/- 9.7 years). Smoking, family history, hypercholesierolemia, hypertriglyceridemia and low levels of high-density lipoprotein cholesterol were more prevalent in group 1 while diabetes mellitus, hypertension was higher in group 2. The common presentation among <40 years patients was ACS whereas stable angina was the most common presentation in patients >= 40 years old. Patients in group 1 showed a preponderance of single-vessel disease whereas patients of group 2 showed dominance of multivessel disease. Early clinical course of patients with ACS in group 1 was better than in group 2. Conclusion: Our study shows a significantly different clinical, angiographic and biochemical profile in <40years patients with CHD compared with 40 years patients. Dominance of smoking and dyslipidemias that are the preventable risk factors in premature CHD patients is an important threat for our community health. Healthy life styles should be encouraged beginning from young ages and new precautions about smoking must be taken.
Açıklama
[dc.description]
WOS: 000254243500003
Açıklama
[dc.description]
PubMed: 17513205
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
coronary heart disease
Konu Başlıkları
[dc.subject]
young adults
Konu Başlıkları
[dc.subject]
old adults
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2149-2263
ISSN
[dc.identifier.issn]
2149-2271
İlk Sayfa Sayısı
[dc.identifier.startpage]
124
Son Sayfa Sayısı
[dc.identifier.endpage]
127
Dergi Adı
[dc.relation.journal]
ANATOLIAN JOURNAL OF CARDIOLOGY
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
7
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2291
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
8
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
07 Şubat 2024 09:55
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patients disease coronary clinical compared smoking presentation angina stable (group common factors whereas history angiographic showed biochemical Patients dominance different significantly Conclusion better course preponderance multivessel single-vessel Objective profile precautions beginning encouraged should styles Healthy
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