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Twenty year trends and sex differences in young adults hospitalized with acute myocardial infarction: The ARIC Community Surveillance study

Circulation Feb 25, 2019

Arora S, et al. - In young patients aged 35 to 54 years hospitalized with acute myocardial infarction (AMI), researchers assessed the incidence and risk factors of AMI as well as the influence of gender on the clinical management of these patients in the Atherosclerosis Risk in Communities (ARIC) Surveillance study. Using medical records, information on medications and procedures was obtained. According to the findings, from 1995 to 2014, an increase in the proportion of AMI hospitalizations attributable to young patients was reported; women had an especially pronounced increase in the proportion of AMI hospitalizations. Over time, an increase in the history of hypertension and diabetes among young patients admitted with AMI was also noted. The chances of receiving guideline-based AMI therapies were lower among young women presenting with AMI vs young men. To improve the care of young patients with AMI, physicians need a better understanding of the factors underlying these changes.

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