A-20 | ST-Segment Elevation Myocardial Infarction in the Younger Population in the United States and Their Predictors: A Race- and Gender-Based Analysis

Abstract

Incidence of STEMI in the young population has been rising in the US. Little is known about the effect of race and gender on the prevalence, localization, and predictors of STEMI among the young population. We queried young patients (age < 50 yrs) with primary diagnosis of STEMI from the National Inpatient Sample database (2017-2019) and studied the effect of race on STEMI prevalence and localization among young men and women. We also evaluated the predictors of STEMI among young patients using the logistic regression. A total of 69,950 STEMI patients (mean age 43 yrs, 78% men, 66% White) were studied. Black women had a higher and black men had a lower prevalence of STEMI. White young men had a higher prevalence of inferior STEMI. Known CAD, familial hypercholesterolemia, smoking and family history of CAD are strong and independent predictors of STEMI in young. Our study highlights key racial and gender-based disparities and major predisposing factors of STEMI in the young which can help optimize the preventive strategies and improve patient outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)