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  • 158 -12 (74) 2024 - Aliyev J.S., Rakhmatova D.B. - PREVALENCE OF ACUTE MYOCARDIAL INFARCTION AMONG YOUNG PEOPLE AND PROGNOSIS OF ITS COMPLICATIONS

158 -12 (74) 2024 - Aliyev J.S., Rakhmatova D.B. - PREVALENCE OF ACUTE MYOCARDIAL INFARCTION AMONG YOUNG PEOPLE AND PROGNOSIS OF ITS COMPLICATIONS

PREVALENCE OF ACUTE MYOCARDIAL INFARCTION AMONG YOUNG PEOPLE AND PROGNOSIS OF ITS COMPLICATIONS

Aliyev J.S. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Rakhmatova D.B. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

Myocardial infarction (MI) occurs mainly in the middle-aged and elderly population, but in recent years the disease has increasingly developed in people under 45 years of age, which seems to be associated with modern lifestyle changes. In the group of increased risk of early development of MI are primarily young men, smokers, people with a hereditary predisposition to the early development of cardiovascular pathology and those with problems with employment. At a young age, the most typical is the development of acute coronary syndrome with ST-segment elevation on the electrocardiogram, which occurred in patients without a previous history of angina. Sebaceous cyst rupture as a cause of coronary thrombosis is more common in young people than erosion. Traditionally, in the pathogenesis of atherothrombosis, the key point is considered to be the rupture of the tyre of the atherosclerotic plaque, which is more typical for atheroma with a large lipid nucleus, a thin cap and high inflammation activity. Such a plaque is traditionally called "unstable". Tire erosion is more common in plaques that have opposite characteristics and is more common in women and the elderly. Non-atherogenic causes of the development of MI at a young age can also be observed, for example, vasospasm, embolism in the coronary arteries in patients with endocarditis, etc. It has been established that young people have the lowest risk of developing it.

Keywords: myocardial infarction, acute coronary syndrome, young age, etiology, atherothrombosis, tygrombus rupture, erosion, unstable plaque, prognosis, chronic heart failure

First page

832

Last page

836

For citation:Aliyev J.S., Rakhmatova D.B. - PREVALENCE OF ACUTE MYOCARDIAL INFARCTION AMONG YOUNG PEOPLE AND PROGNOSIS OF ITS COMPLICATIONS//New Day in Medicine 12(74)2024 832-836 https://https://newdayworldmedicine.com/en/new_day_medicine/12-74-2024

List of References

  1. Rakhmatova D.B. Scientific and practical significance of acute myocardial infarction among the population of elderly and old age //Globalization, the State and the Individual. 2022;29(1):84-89.
  2. Rakhmatova D.B. «Main» Symptoms and leading clinical options for the flow of acute coronary syndromes in women /Rakhmatova D.B. //Asian Journal of Multidimensional Research (AJMR)19, 2019;8(11):69-74. DOI: 10.5958 / 2278-4853.2019.00307.0
  3. Rakhmatova D.B. Analysis of the risk factors of Chd in persons over 60 years among the population of the city of Bukhara. //Asian studies. India. 2019;1:33-38.
  4. Yunyun W., Tong L., Yingwu L. et al. Analysis of risk factors of ST-segment elevation myocardial infarction in young patients. //BMC Cardiovasc Disord 2014;14:179. DOI: 10.1186/1471-226114-179.
  5. Schoenenberger A.W., Radovanovic D., Stauffer J.C. et al. Acute coronary syndromes in young patients: presentation, treatment and outcome. //Int J Cardiol 2011;148(3):300-4. DOI: 10.1016/j. ijcard.2009.11.009.
  6. Diagnosis and treatment of patients with acute myocardial infarction with ST-segment elevation of the electrocardiogram (part 1). Recommendations of the Society of Emergency Cardiology Specialists. //Emergency Cardiology 2014;(1):43-62.
  7. Clinical guidelines for the diagnosis and treatment of patients with acute coronary syndrome without ST-segment elevation of the electrocardiogram (part 1). Recommendations of the Society of Emergency Cardiology Specialists. //Emergency Cardiology 2016;(2):26-62.
  8. Libby P., Pasterkamp G. Requiem for the "vulnerable plaque". //Eur Heart J 2015;36(43):2984-7. DOI: 10.1093/eurheartj/ehv349.
  9. Jamil G., Jamil M., Alkhazraji H. et al. Risk factor assessment of young patients with ST-segment elevation myocardial infarction. //Am J Cardiovasc Dis 2013;3(3):170-4. PMID: 23991352.
  10. Larsen G.K., Seth M., Gurm H.S. The ongoing importance of smoking as a powerful risk factor for ST-segment elevation myocardial infarction in young patients. //JAMA Intern Med 2013;173(13):1261-2. DOI: 10.1001/jamainternmed.2013.6075.
  11. Herbig B., Dragano N., Angerer P. Health in the long-term unemployed. //Dtsch Arztebl Int 2013;110(23-24):413-9. DOI: 10.3238/arztebl.2013.0413.
  12. Davidovich I.M., Malay L.N., Kutishenko N.P. Long-term results and adherence to therapy in patients after acute myocardial infarction: registry data (Khabarovsk). Clinician 2016-2017;(4- 1):36-44.
  13. Torabi A., Cleland J.G., Rigby A.S. et al. Development and course of heart failure after a myocardial infarction in younger and older people. //J Geriatr Cardiol 2014;11(1):1-12. DOI: 10.3969/j.issn.1671-5411.2014.01.002.
  14. Schmidt E.A., Burns S.A., Osokina A.V., et al. Adverse Outcome Prediction Scale in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Emergency Percutaneous Coronary Intervention. //Therapeutic Archive 2014;86(4):13-8.
  15. Belaya I.E., Kolomiets V.I., Musayeva E.K. Significance of laboratory parameters in predicting the outcomes of acute myocardial infarction. //Clinician 2017;(1):29-35.
  16. D'Ascenzo F., Biondi-Zoccai G., Moretti C. et al. TIMI, GRACE and alternative risk scores in acute coronary syndromes: a meta-analysis of 40 derivation studies on 216.552 patients and of 42 validation studies on 31.625 patients. //Contemp Clin Trials 2012;33(3):507-14. DOI: 10.1016/j.cct.2012.01.001.

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