One year Outcomes of Patients with ST-Segment Elevation Myocardial Infarction

Introduction: Cardiovascular diseases are becoming increasingly prevalent worldwide, resembling an epidemic. With industrialization and lifestyle shifts, more young individuals are experiencing acute myocardial infarctions. The objective of this study is to examine the one-year outcomes of acute myocardial infarction with ST-segment elevation among patients under 40 years old. Materials and Methods: In this study, we included patients diagnosed with ST-Segment Elevation Myocardial Infarction (STEMI) who were referred to Imam Ali Heart Hospital in Kermanshah, as part of a prospective cohort study. Our objective was to determine the incidence of cardiovascular diseases, including heart attack, stroke, and mortality, among these patients. Results: In this study, we examined 118 patients diagnosed with ST-Segment Elevation Myocardial Infarction (STEMI). Of these, 93.2% were male and 6.8% were female. The mean age of the participants was 34.81 years (standard deviation 4.79). During the one-year follow-up, no cases of stroke were observed among the patients. However, the prevalence of angina, heart failure (HF), and myocardial infarction (MI) among the patients was 15.3%, 7.6%, and 2.5%, respectively. Conclusions: In the one-year outcomes of ST-segment elevation acute myocardial infarction in patients under 40 years of age, it was observed that the majority of individuals who died were smokers. This finding underscores the critical importance of addressing smoking as a significant risk factor, even when patients receive appropriate and timely medical care for ST-segment elevation myocardial infarction. Moreover, smoking can potentially render treatment measures ineffective. Therefore, the significance of screening for and addressing risk factors should not be underestimated.