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2012
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info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2012-001571
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info:eu-repo/semantics/altIdentifier/pmid/23204138
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_6D2166FAAA213
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Myocardium--InflammationCiter ce document
C. Pellaton et al., « Clinical features of myocardial infarction and myocarditis in young adults: a retrospective study. », Serveur académique Lausannois, ID : 10.1136/bmjopen-2012-001571
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OBJECTIVES: To evaluate the prevalence and clinical presentation of myocardial infarction (MI) and myocarditis in young adults presenting with chest pain (CP) and an elevated serum troponin I (TnI) to the emergency department (ED). DESIGN: Retrospective, observational, single-centre study. PARTICIPANTS: All consecutive patients 18-40 years old admitted to the ED for CP with an elevated TnI concentration. PRIMARY OUTCOME MEASURES: Prevalence of MI, myocarditis and the characterisation of clinical presentation. RESULTS: 1588 patients between 18 and 40 years old were admitted to the ED with CP during 30 consecutive months. 49 (3.1%) patients with an elevated TnI (>0.09 μg/l) were included. 32.7% (16/49) were diagnosed with MI (11 ST-elevation myocardial infarction (STEMI) and 5 non-ST-elevation myocardial infarction (NSTEMI)) and 59.2% (29/49) with myocarditis. Compared with patients with myocarditis, MI patients were older (34.1±3.8 vs 26.9±6.4, p=0.0002) with more cardiovascular risk factors (mean 2.06 vs 0.69). Diabetes (18.8% vs 0%, p=0.0039), dyslipidaemia (56.2% vs 3.4%, p