Myocardial Infarction in the Younger Patient

  • Jorge Plutzky
Part of the Contemporary Cardiology book series (CONCARD)


In discussing premature myocardial infarction (MI), it is important to begin with a simple fact: coronary atherosclerosis is quite common in younger patients (1,2). It is the clinical manifestations of coronary artery disease (CAD)—MI and angina pectoris—that may be less frequently encountered (3). The underlying disease process appears to be present in many, if not most, Americans by the age of 30 (4). Autopsy studies on casualties of both war and motor vehicle accidents reveal early signs of atherosclerosis in up to 70% of individuals 30 yr old or younger, with significant flow-limiting stenoses in 10% (5).


Acute Coronary Syndrome Fabry Disease Homocysteine Level Polycythemia Vera Premature Coronary Artery Disease 
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© Springer Science+Business Media New York 1999

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  • Jorge Plutzky

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