Risk factors for myocardial infarction recurrence in young and middle-aged males
Iakovlev, V.V.; Golofeevskiĭ, V.I.; Sotnikov, A.V.
Terapevticheskii Arkhiv 82(9): 13-17
2010
ISSN/ISBN: 0040-3660 PMID: 21086614 Document Number: 644430
To assess a set of risk factors (RF) for coronary heart disease in myocardial reinfarction patients aged less than 60 years. A multitude of probable RFs that might predispose to the development of MI or provoke its occurrence were studied in 526 male patients aged less than 60 years, who had primary (n = 281) and repeated (n = 245) myocardial infarction (MI) from the results of hospital treatment. Lipid metabolic disturbances, smoking, arterial hypertension (AH), foci of chronic infection, and overweight were ascertained to be the most common RFs in patients less than 60 years. There was a history of dyslipidemia (100%), AH, heart failure, and cardiac arrhythmias in the complicated course of repeated MI. When these RFs are combined, the likelihood of disease complications and death increases. According to the results of estimation of the spread of RFs for myocardial reinfarction, it is proposed to enhance the monitoring of lipidogram readings, blood pressure value, magnitude of the symptoms of heart failure, and serum glucose levels, and infection foci sanitization and to improve patients' awareness about a risk from smoking and lower physical activity.