Acute Coronary Syndrome in Young Adults from Oman
Author Information
Author(s): Panduranga Prashanth Sulaiman, Kadhim Al-Zakwani, Ibrahim Abdelrahman Said
Primary Institution: Royal Hospital, Muscat, Oman
Hypothesis
What are the prevalence, risk factors, presenting features, and in-hospital outcomes of acute coronary syndrome patients aged 40 and younger in Oman?
Conclusion
Young ACS patients from Oman have a different risk profile, were treated more aggressively, and had better outcomes compared to older patients.
Supporting Evidence
- 7.6% of ACS patients were ≤40 years of age.
- Young patients had higher rates of smoking (47%) and obesity (72%).
- Younger patients experienced less heart failure (6%) and in-hospital mortality (0% among STEMI patients).
- Both groups received similar treatments, but younger patients received more aggressive therapies.
Takeaway
This study looked at young people in Oman who had heart problems and found that they smoke a lot and are often overweight, but they get better treatment and do better than older patients.
Methodology
Data were analyzed from 1579 consecutive ACS patients from Oman during May 2006 to June 2007, comparing patients ≤40 years of age with those >40 years.
Potential Biases
Potential bias in treatment approaches between younger and older patients.
Limitations
The study is observational and retrospective, with possible confounding variables not controlled for, and only in-hospital outcomes were reported.
Participant Demographics
121 patients were ≤40 years of age, with a mean age of 36 years, predominantly male (81%).
Statistical Information
P-Value
P<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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