The burden of modifiable CVD risk factors in young CCU patients

Abstract

Introduction: Approximately, 10% of patients with myocardial infarction present in young adulthood but little is known about the burden and distribution of traditional modifiable risk factors in this group compared with older patients. Methods: Patients presenting to the Middlemore Hospital, CCU from July 2004 to June 2006 with a CVD related admission were screened when clinically stable using the Acute Predict system which electronically collects CVD risk factor data. Results: The sample was validated against clinical coding data. Of 1477 patients admitted to the CCU < 75 years with a CVD related event 853 had an Acute Predict assessment completed (see below). There were no statistically significant differences in age, ethnicity or deprivation index in the likelihood of receiving Predict. Conclusion: Whilst there is a high prevalence of modifiable risk factors across the age range the younger patients are more likely to be smokers, have high triglycerides, be obese and live in areas of greater deprivation. This information may guide development of both primary and secondary prevention programs directed towards younger age groups.