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High prevalence of smoking in young patients with acute myocardial infarction

Dept. of Internal Medicine Herning Centralhospital DK-7400 Herning Denmark

J. Bech, MD

Dept. of Cardiology Rigshospitalet DK-2100 Copenhagen Denmark

J. Kyst Madsen, PhD

Dept. of Cardiology Rigshospitalet DK-2100 Copenhagen Denmark

F. Efsen, MD

Dept. of Radiology Rigshospitalet DK-2100 Copenhagen Denmark

Of 35 patients with acute myocardial infarction (AMI) at the age of 40 years or less, 32 (91%) smoked and only three patients were non-smokers. The age at AMI related significantly to the extent of smoking (p < 0.001, Kruskall-Wallis test). Five patients with AMI at the age < 30 years smoked more heavily than the 30 with AMI at the age of 30-40 years (p = 0.04, Mann Whitney U test). Heavy smoking men > 30 years at the AMI had a Q-wave infarction as often (11 of 13 (85%)) as those with multivessel disease or a coronary artery occlusion (8 of 9 (89% ) and 14 of 16 (88% ) respectively) on coronary arteriography after the infarction. Smoking may be the most important modifiable risk factor in young patients with AMI.

The Journal of the Royal Society for the Promotion of Health, Vol. 116, No. 3, 153-156 (1996)
DOI: 10.1177/146642409611600305


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