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Acute Coronary Syndrome of Young Subjects at the Luxembourg Mother-Chi.d Uni.ersi.y Hospi.al i. Bamako

World Journal of Cardi.vascular Di.eases 2024年第3期14卷 157-165页

作者： Mamadou Toure Mari.m Dagnogo Massama Konate Mari.m Sako Daouda Fofana Hamma Sankare Almou A. Di.ll Modi.o Doumbi. baba i. diarr Mady Sow Abdoul Wahhab Terra Coumba A. Thi.m Boubacar Sonfo Boubacar diarra Asmaou Kei.a Ousmane Traore Hami.ou O. Ba i.haka Menta Cardi.logy Department CHU-Mother Child Bamako Mali Cardi.logy Department CHU-Gabriel Tour&#233 Bamako Mali Faculty of Medi.i.e University of Sciences Technics and Technologies of Bamako Bamako Mali Center Andre FESTOC Department of Cardiac Surgery of Bamako Mali Bamako Mali

i.troducti.n: Acute coronary syndrome i. often the fi.st event of coronary di.ease of young subjects. Objecti.e: To study soci.demographi., cli.i.al, paracli.i.al, therapeuti. and evoluti.nary aspects of acute coronary syndrome of young subjects. Pati.nts and Methods: Descri.ti.e cross-secti.nal study wi.h prospecti.e recrui.ment from October 01, 2020 to March 31, 2022. Were i.cluded all pati.nts admi.ted for acute coronary syndrome whose age was less or equal to 45 years and who had undergone coronary angi.graphy at the Mother-Chi.d Uni.ersi.y Hospi.al on Luxembourg from Bamako. Results: Duri.g the study peri.d, we collected 60 pati.nt fi.es out of 198. These 60 pati.nt fi.es met our i.clusi.n cri.eri.. Hospi.al frequency was 30.30%. Average age of pati.nts was 40.43 ± 3.9 years. Sex rati. M/F was 5.3. Mai. cardi.vascular ri.k factor was smoki.g tobacco (23.42%), followed by dysli.i.emi. (13.92%). Functi.nal si.ns were domi.ated by angi.a 62% followed by dyspnea 25.3%. Persi.tent ST-segment elevati.n on electrocardi.gram was present i. 76.4%. Left ventri.ular systoli. dysfuncti.n was present i. 26.5%. Ti.e to fi.st medi.al contact was more than 12 hours i. 62.7% of cases. Radi.l approach was adopted i. 94% of cases. Coronary angi.graphy was pathologi.al i. 85% (n = 51) of cases. Lesi.ns were si.gle-vessel di.ease i. 47.1% and culpri. artery was anteri.r i.terventri.ular i. 51% of cases. Dual anti.platelet aggregati.n was aspi.i. and ti.agrelor i. 91.8% of cases. Angi.plasty was performed i. all pati.nts who had si.ni.i.ant abnormali.i.s at coronary angi.graphy. i.-hospi.al mortali.y was 3.9%. Conclusi.n: Acute coronary syndromes exi.t i. young Afri.ans wi.h a male predomi.ance. Mai. cardi.vascular ri.k factor i. smoki.g tobacco. Coronary lesi.ns are si.gle vessel di.ease i. the majori.y of case. Most of pati.nts meet medi.al team after 12 hours. Ti.e to fi.st medi.al contact i. a mai. challenge i. our country.

关键词： Acute Coronary Syndrome Young Subjects Coronary Angi.graphy CHU Luxembourg Bamako

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