Nav: Home

Risk factors like smoking, high BP common among younger patients with repeat heart attacks

November 30, 2018

Heart attacks reoccurred more frequently in younger patients with several modifiable risk factors, including smoking and high blood pressure. Researchers on the new study, presented at the American College of Cardiology Asia Conference 2018 in Shanghai, suggested secondary preventive programs for younger patients should target modifiable risk factors.

"When treating younger patients with a history of heart attack, clinicians should emphasize better control of high blood pressure, high cholesterol and diabetes," said Joanne Karen Recacho-Turingan, MD, a Cardiology Fellow at The Medical City in Manila, Philippines. "Other modifiable risk factors to highlight in patient history and address with these patients include smoking habits and obesity."

Researchers analyzed 133 young patients admitted at The Medical City for a heart attack between 2013 and 2016. During the study period 22 patients had a reoccurrence. All patients who experienced a second heart attack were male with an average age of 40.9 years. Patients who did not experience a reoccurrence were 90.1 percent male and 9.9 percent female with an average age of 39.6 years.

Risk factors such as smoking, high blood pressure, family history of heart disease and chronic kidney disease were more prevalent among the patients who experienced a reoccurrence. In these patients, chest pain was the most common presenting symptom at 81.8 percent while 90.9 percent had unstable vital signs at the time of admission.

"Heart attack in young patients can cause disability and even death at the prime of life," Recacho-Turingan said. "There are often serious consequences for these patients, their families and the health system, which can lead to an increased economic burden. We must make sure to work with these patients on their modifiable risk factors to reduce their risk not just for a second heart attack, but hopefully, even preventing the first."

Previous studies have defined young heart attack patients as less than 45 years old while some used a less than 40-year old cut-off. Prior research has found these patients have a high prevalence of smoking, family history and high cholesterol.
-end-
The American College of Cardiology envisions a world where innovation and knowledge optimize cardiovascular care and outcomes. As the professional home for the entire cardiovascular care team, the mission of the College and its more than 52,000 members is to transform cardiovascular care and to improve heart health. The ACC bestows credentials upon cardiovascular professionals who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. The College also provides professional medical education, disseminates cardiovascular research through its world-renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions. For more, visit acc.org.

American College of Cardiology

Related Smoking Articles:

A case where smoking helped
A mutation in the hemoglobin of a young woman in Germany was found to cause her mild anemia.
No safe level of smoking
People who consistently smoked an average of less than one cigarette per day over their lifetime had a 64 percent higher risk of earlier death than people who never smoked.
Nearly half of women who stop smoking during pregnancy go back to smoking soon after baby is born
A major new review published today by the scientific journal Addiction reveals that in studies testing the effectiveness of stop-smoking support for pregnant women, nearly half (43 percent) of the women who managed to stay off cigarettes during the pregnancy went back to smoking within six months of the birth.
If you want to quit smoking, do it now
Smokers who try to cut down the amount they smoke before stopping are less likely to quit than those who choose to quit all in one go, Oxford University researchers have found.
Cochrane news: Have national smoking bans worked in reducing harms in passive smoking?
The most robust evidence yet, published today in the Cochrane Library, suggests that national smoking legislation does reduce the harms of passive smoking, and particularly risks from heart disease.
Advocating for raising the smoking age to 21
Henry Ford Hospital pulmonologist Daniel Ouellette, M.D., who during his 31-year career in medicine has seen the harmful effects of smoking on his patients, advocates for raising the smoking age to 21.
Stress main cause of smoking after childbirth
Mothers who quit smoking in pregnancy are more likely to light up again after their baby is born if they feel stressed.
As smoking declines, more are likely to quit
Smokeless tobacco and, more recently, e-cigarettes have been promoted as a harm reduction strategy for smokers who are 'unable or unwilling to quit.' The strategy, embraced by both industry and some public health advocates, is based on the assumption that as smoking declines overall, only those who cannot quit will remain.
Smoking around your toddler could be just as bad as smoking while pregnant
Children whose parents smoked when they were toddlers are likely to have a wider waist and a higher BMI by time they reach ten years of age, reveal researchers at the University of Montreal and its affiliated CHU Sainte Justine Research Centre.
Smoking and angioplasty: Not a good combination
Quitting smoking when you have angioplasty is associated with better quality of life and less chest pain.

Related Smoking Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Anthropomorphic
Do animals grieve? Do they have language or consciousness? For a long time, scientists resisted the urge to look for human qualities in animals. This hour, TED speakers explore how that is changing. Guests include biological anthropologist Barbara King, dolphin researcher Denise Herzing, primatologist Frans de Waal, and ecologist Carl Safina.
Now Playing: Science for the People

#SB2 2019 Science Birthday Minisode: Mary Golda Ross
Our second annual Science Birthday is here, and this year we celebrate the wonderful Mary Golda Ross, born 9 August 1908. She died in 2008 at age 99, but left a lasting mark on the science of rocketry and space exploration as an early woman in engineering, and one of the first Native Americans in engineering. Join Rachelle and Bethany for this very special birthday minisode celebrating Mary and her achievements. Thanks to our Patreons who make this show possible! Read more about Mary G. Ross: Interview with Mary Ross on Lash Publications International, by Laurel Sheppard Meet Mary Golda...