ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BAN ĐẦU BỆNH NHÂN NHỒI MÁU CƠ TIM TRẺ TUỔI TẠI VIỆN TIM MẠCH - BỆNH VIỆN BẠCH MAI

Abstract

Background: Acute myocardial infarction in young patients is relatively uncommon, and current data on clinical features, angiographic characteristics, and short-term prognosis in this population remain limited. Understanding these factors is essential to optimizing treatment strategies and preventing recurrent cardiovascular events. Objective: To evaluate the initial treatment outcomes in young patients with acute myocardial infarction (AMI) at the Vietnam National Heart Institute – Bach Mai Hospital. Subjects and Methods: A prospective, cross-sectional study with short-term follow-up was conducted on 50 patients under 45 years old diagnosed with AMI. All patients underwent percutaneous coronary intervention (PCI). Results: The mean age was 39.3 ± 4.9 years (range: 26–45), with a predominance of males (92%). Smoking was the most common risk factor (84%), followed by hypertension (32%). STEMI accounted for 74% of admissions, with 62% presenting within 12 hours of symptom onset. All patients experienced chest pain on presentation. Most procedures were performed via the radial approach (92%), with thrombus aspiration used in 56% of cases. Single-vessel disease was found in 58%, predominantly involving the left anterior descending artery (80%). Post-PCI, TIMI 3 flow was achieved in 91.7% of target vessels, and 96% of patients showed clinical improvement during hospitalization. All patients were stable at discharge. At 3-month follow-up, one patient (2%) was re-hospitalized for heart failure, and one (2%) required repeat PCI. Conclusion: Young patients with AMI were predominantly male smokers with single-vessel disease, mostly affecting the LAD. Early revascularization with PCI led to high rates of successful reperfusion and symptom improvement. Initial outcomes were favorable, with low short-term cardiovascular event rates following discharge.