dc.date.accessioned | 2021-06-08T09:11:26Z | |
dc.date.available | 2021-06-08T09:11:26Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0003-3197 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12619/95930 | |
dc.description | Bu yayının lisans anlaşması koşulları tam metin açık erişimine izin vermemektedir. | |
dc.description.abstract | The prevalence of coronary artery disease is increasing in young adults. We evaluated the outcomes of different types of acute coronary syndrome in 917 patients undergoing coronary angiography aged <= 45 years. Male sex, smoking, dyslipidemia were the most important risk factors. ST-elevation myocardial infarction (STEMI; 54.8%) predominated. The STEMI patients had higher risk of hospital mortality (3.6% vs 0.6%;P= .004) and major adverse cardiac and cerebrovascular events (MACCE; 13.8% vs 3.3%;P< .001, hazard ratio [HR], 4.65; 95% CI, 2.45-8.82). Presentation heart rate, blood pressure, heart failure, shock, arrhythmia, ejection fraction (EF), diabetes, contrast-induced nephropathy (CIN), and elevated troponin were associated with hospital mortality and MACCE. But only heart failure (HR, 5.816; 95% CI, 2.254-15.008) and CIN (HR, 6.241; 95% CI, 2.340-16.641) were independent risk factors for hospital MACCE. There was no difference in long-term mortality between the 2 groups, but non-STEMI patients had higher risk for MACCE after 3 years (14.4% vs 9.9%,P= .033). Although shock (HR, 0.814; 95% CI, 0.699-0.930), Killip class >= 2 (HR, 0.121; 95% CI, 0.071-0.170), CIN (HR, 0.323; 95% CI, 0.265-0.380), and EF (HR, 0.917; 95% CI, 0.854-0.984) were independent predictors of hospital death, only EF was the independent predictor of long-term mortality (HR, 0.897; 95% CI, 0.852-0.944). | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | SAGE PUBLICATIONS INC | |
dc.relation.isversionof | 10.1177/0003319720939444 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | ACUTE MYOCARDIAL-INFARCTION | |
dc.subject | ST-SEGMENT ELEVATION | |
dc.subject | CONTRAST-INDUCED NEPHROPATHY | |
dc.subject | LONG-TERM OUTCOMES | |
dc.subject | CLINICAL CHARACTERISTICS | |
dc.subject | ARTERY-DISEASE | |
dc.subject | MORTALITY | |
dc.subject | INTERVENTION | |
dc.subject | IMPACT | |
dc.subject | AGE | |
dc.title | Prognostic Factors and Outcomes in Young Patients With Presented of Different Types Acute Coronary Syndrome | |
dc.type | Article | |
dc.contributor.authorID | COSANSU, KAHRAMAN/0000-0002-4063-5874 | |
dc.identifier.volume | 71 | |
dc.identifier.startpage | 894 | |
dc.identifier.endpage | 902 | |
dc.relation.journal | ANGIOLOGY | |
dc.identifier.issue | 10 | |
dc.identifier.doi | 10.1177/0003319720939444 | |
dc.identifier.eissn | 1940-1574 | |
dc.contributor.author | Yilmaz, Sabiye | |
dc.contributor.author | Cosansu, Kahraman | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
dc.identifier.pmıd | 32643400 |
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