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          VOLUME 35 / ISSUE 4

The Journal is Indexed in

7 - Evaluation of Young Patients With Myocardial infarction

Ebru Em, Fatih Borlu, A.Özgür Öztürk, Gülçağrı Erol, Hülya Tanes, Güliz Dirimen

Objective : In our study, we aimed to emphasize that the young myocardial infarction (MI) cases had different clinical and laboratory features and their therapies were important due to these differences.

Material and Methods : 46 of 466 cases, which were followed by our Coronary intensive Care Unit in between January 1999-2000 and were diagnosed as MI considering the clinical and the laboratory results, were included the study as young MI cases. The ages,genders,jobs,risk factors,seasonal distributions, localization of the infarction, the therapy modality were evaluated. Results : in our study group the presence of, being male, being working in a stressful job, smoking as one of the risk factors for the coronary heart disease, hypertension and the family history at the higher rate than the other risk factors were correlated with the prior laige studies (GISSI-2,GISSI-3) which were carried out with theyoung MI cases. The different results were the intensity in spring at the seasonal distribution, the higher incidence of the inferior localization and the less usage of thrombolytic agents on therapy rather than the expected one.

Conclusions : Recently, the thrombolytic therapy is the essential and the basic element of the therapy of MI and its positive effect, on the mortality and the morbidity at young MI cases, is more prominent. It has been thought the managements on many fields aimly the education should have been carried out to make spread this therapy which has been used less than the expected one in our country.

Keywords: Young myocardial infarction, thrombolytic therapy

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