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Cardiovascular risk factors in people under 50 and STEMI

Session Poster Session I - Thursday 08:30 - 18:00

Speaker Alfredo Chauca Tapia

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2017

  • Topic : preventive cardiology
  • Sub-topic : Lipids
  • Session type : Poster Session

Authors : A Chauca Tapia (Cadiz,ES), R Colman Llamozas (Cadiz,ES), W Delgado Nava (Cadiz,ES), T Bretones Del Pino (Cadiz,ES), L Gutierrez Alonso (Cadiz,ES), R Vazquez Garcia (Cadiz,ES)

Authors:
A Chauca Tapia1 , R Colman Llamozas1 , W Delgado Nava1 , T Bretones Del Pino1 , L Gutierrez Alonso1 , R Vazquez Garcia1 , 1University Hospital Puerta del Mar, Cardiology - Cadiz - Spain ,

Citation:
European Journal of Preventive Cardiology ( April 2017 ) 24 ( Supplement 1 ), 28

Background: The purpose of this research is to describe the most frequent risk factors in people under 50 years of age admitted with STEMI in a tertiary hospital.
Methods: Descriptive study of patients under 50 years of age admitted between January 2011 and December 2015 in a tertiary hospital with the diagnosis of STEMI, to determine epidemiological characteristics, prevalence of cardiovascular risks factors and  laboratory test characteristics.
Results: During the study period, 38 patients under 50 years were admitted to our hospital with a diagnosis of STEMI, the mean age 42.9±4.9, 81.6% were men (mean age 41.9±5.2) and 18.4% women (mean age 44.7±1.9).  The most prevalent risk factor in the study was smoking (86.8%) followed by overweight (44.7%), family history of coronary artery disease (42.1%) and dyslipidemia (34.2%). With respect to the laboratory test results, it must be highlighted the high mean value of total cholesterol an triglyceriides, and the low mean value of HDL (39.8mg/dL) and albumin (3.9g/dL). 7 patients were readmitted. We analyzed the risk factors using  the chi-square test and the only cardiovascular risk factor associated with readmission in this group of patients was hypertension (p=0.02).
Conclusion: As it's showed in this study, in patients under 50 the family history of CAD is a common non-modifiable risk factor, but  there is also a high prevalence of smoking, overweight and dyslipidemia. These modifiable risk factors can be controlled with cardiac rehabilitation, not only with the optimization of  drug therapy, but also promoting healthy lifestyles.

Clinical characteristics Prevalence(%) Lab test Mean value
Hypertension 21.1 Hemoglobin 13.6±1.9 g/dl
DM 7.9 Creatinine 0.85±0.18 mg/dl
Family history of CAD 42.1 Total protein 6.4±0.6 g/dL
Dyslipidemia 34.2 Albumin 3.9±0.4 g/dL
Tobacco 86.8 Total cholesterol 190.6±141 mg/dL
Alcohol 26.3 HDL 39.8± mg/dL
BMI ≥25 44.7 LDL 100.1±25.1 mg/dL
BMI ≥30 28.9 Triglycerides 163.4±62.9 mg/dl
Uric acid 5.6±1.4 mg/dl
HbA1c 5.59±0.62%

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