%0 Journal Article
%T Young acute coronary syndrome outcomes in heterogenous Asians.
%A Chong Pei Feng
%A Christopher Lee
%A Effa Abdul
Rahman
%A Faridah Embong
%A Hafisyatul Aiza
%A Johan Rizwal Ismai
%A Khairul Shafiq Ibrahim
%A Lim Chiao Wen
%A Mohd
Kamal Mohd Arshad
%A Nicholas Chua Yul Chye
%A Rizmy Najme Khir
%A Sazzli Kasim
%J -
%D 2018
%X Background: Recently, more patients are presenting at a younger age with acute coronary syndrome (ACS). Objective: Identify the demographics, risk factors and outcomes of young ACS North of Kuala Lumpur, Malaysia. Materials and Methods: This was a prospective, observational study conducted in Sungai Buloh Hospital, North of Kuala Lumpur, Malaysia. Patients were enrolled during 2014 and 2015. Results: There was 1479 ACS, with a mean age of 56 ¡À 12. 10.6% (n=158) were below 40, with a mean age of 34 with the youngest at 17. Meanwhile 15.8% (n=25) were female. Ethnicity breakdown revealed 62% Malays, 24.1% Indians, 1.2% Chinese and 12.7% of other races. ACS subtypes showed 56.9% unstable angina (UA), 22.2% non-ST elevation myocardial infarction (NSTEMI) and 20.9% ST elevation myocardial infarction (STEMI). Cardiovascular risk factor assessment revealed 46.2% hypertension, 43.0% smokers, 6.3% ex-smokers, 29.7% known ischemic heart disease (IHD), 24.7% diabetes mellitus, 22.8% dyslipidemia, 19.0% positive family history of IHD and 10.8% alcohol consumption. Biochemical analysis showed fasting glucose level of 7.2 ¡À 3.5 mmol/L and serum creatinine 84.0 ¡À 23.5 ¦Ìmol/L. Lipid profile revealed mean total cholesterol of 4.9 ¡À 1.4 mmol/L, triglyceride 2.2 ¡À 1.3 mmol/L, HDL 0.9 ¡À 0.4 mmol/L, and LDL of 3.3 ¡À 1.1 mmol/L. 30-day mortality was 3.2% while 90-day mortality was 4.5%. Conclusion: Majority of young ACS were male with positive risk factors such as hypertension and cigarette smoking
%K Young acute coronary syndrome
%K Risk factors
%K Mortality outcomes
%K Heterogenous Asians
%K Malaysia.
%U https://www.alliedacademies.org/articles/young-acute-coronary-syndrome-outcomes-in-heterogenous-asians-10435.html