Abstract

The aim of this study is to compare the clinical characteristics of young women (<40 years) with older (≥40 years) admitted to the hospital emergency department with the diagnosis of acute coronary syndrome (ACS), and identify which cardiovascular risk factors are predictors to suffer an ACS in the group of young women. We included women consecutively admitted in a tertiary hospital with a diagnosis of ACS. A total of 118 women with a diagnosis of ACS were included. Young women were more likely to smok and had a higher proportion of coronary artery disease of one vessel. The multivariable logistic regression analysis showed that smoking was the only variable associated independently with the presence of ACS in young women (OR: 6.451, 95% CI: 1.479 to 28.571, p = 0.01). The findings of this study indicate that smoking is an independent predictor of ACS in women less than 40 years.

Highlights

  • In the western world, cardiovascular disease is the leading cause of death in women

  • The findings of this study indicate that smoking is an independent predictor of acute coronary syndrome (ACS) in women less than 40 years

  • Group A consisted of 18 women

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Summary

Introduction

Cardiovascular disease is the leading cause of death in women. Numerous previous studies have drawn attention to the worst hospital prognosis of women experiencing an acute coronary syndrome (ACS). Epidemiological studies have identified risk factors such as high blood pressure (HT), diabetes mellitus (DM), smoking and physical inactivity as responsible, in large part, for ischemic heart disease in women [1]. Probably due to the low incidence of ACS in young women, there are any published studies concerning this specific population [2]. The aim of this study is to compare the clinical characteristics of young women (

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