Trends in Modifiable Risk Factors Amongst First Presentation ST Elevation Myocardial Infarction Patients in a Large Longitudinal Registry

Recent studies suggest that the risk factor profile of patients presenting with ST elevation myocardial infarction (STEMI) is changing. The aim is to determine if there has been a shift of cardiovascular risk factors to cardiometabolic causes in the first presentation STEMI population. We analysed d...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2023-04, Vol.32 (4), p.480-486
Main Authors: Kazi, Samia N., Von Huben, Amy, Marschner, Simone, Chong, James J.H., Denniss, Alan Robert, Ong, Andrew T.L., Chow, Clara K.
Format: Article
Language:English
Subjects:
Cardiometabolic risk factors
Cardiovascular diseases
Diabetes Mellitus - epidemiology
Female
Heart disease risk factors
Humans
Hypercholesterolemia - complications
Hypercholesterolemia - epidemiology
Hypertension - complications
Hypertension - epidemiology
Male
Middle Aged
Myocardial infarction
Percutaneous Coronary Intervention
Registries
Risk Factors
ST elevation myocardial infarction
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - epidemiology
Treatment Outcome
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Summary:Recent studies suggest that the risk factor profile of patients presenting with ST elevation myocardial infarction (STEMI) is changing. The aim is to determine if there has been a shift of cardiovascular risk factors to cardiometabolic causes in the first presentation STEMI population. We analysed data from a STEMI registry from a large tertiary referral percutaneous coronary intervention centre to determine the prevalence and trends of the modifiable risk factors of hypertension, diabetes, smoking and hypercholesterolaemia. Consecutive first presentation STEMI patients between January 2006 to December 2018. Among the 2,366 patients included (mean age 59, SD 12.66, 80% male) the common risk factors were hypertension (47%), hypercholesterolaemia (47%) current smoking (42%) and diabetes (27%). Over the 13 years, patients with diabetes (20% to 26%, OR 1.09 per year, CI 1.06–1.11, p
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2022.12.012