Predictors of adverse outcomes in young post myocardial infarction patients under conditions of ambulatory rehabilitation
The aim of the study was to identify independent factors of poor prognosis in young patients with myocardial infarction under conditions of the ambulatory rehabilitation. We examined 108 patients aged 18 to 45 years with a confirmed diagnosis of myocardial infarction with and without ST-segment elevation. Patients were monitored for 12 months after myocardial infarction. At the outpatient stage of treatment laboratory and instrumental parameters were investigated including general and biochemical blood tests, assessment of hemostasis system parameters, daily urinary albumin excretion, echocardiography and cardiac rhythm monitoring. The assessment of the prevalence of traditional risk factors was carried out using the original questionnaire. Treatment adherence was assessed using the Morisky-Green questionnaire with additions. Statistical data processing was carried out using the IBM SPSS Statistics v.23 program. Composite endpoint 12 months after myocardial infarction occurred in 24 % of cases. Mortality was 3 %, recurrent myocardial infarction developed in 4 % of cases, unstable angina pectoris - in 7 %, the need for planned revascularization was 9 %. Smoking and low adherence to statins were recognized as independent prognostic factors in this cohort.