Re: Sudden Death at 33 y.o.

acd123,

We are seeing younger and younger MI's here in my hospital as well. We
had a similar case as yours 2 months ago--37 year old soccer player
with no risk factors. Had chest pain after a soccer game--came to ER
and had sudden death in ER with LAD disease. And this week, I have seen
3 unstable angina patients, all under 35. Our yongest case this year
was a 25 year old, but he had been working at the local fried chicken
establishment since age 16, and was morbidly obese.

My personal opinion -- as transportation has gotten much more readily
available and fast food more available, we are going to see more and
more young myocardial infarctions. (But then I have also seen data from
autopsies of Korean War participants--about 30% of them had occlusive
atherosclerosis in arteries and the average age of that study was 22. )

But medicines you should be on: aspirin, beta blocker, ace inhibitor
and statin. All have been proven to reduce morbidity and mortality
post-MI. Others here have their personal favorites, but mine are
aspirin, Toprol XL or Coreg, Altace, and Lipitor, respectively.

Losing weight is important if you are obese, but I have never seen any
data to suggest that a person whose BMI is in the normal range should
lose weight. On the contrary, there is an obesity paradox that the
skinnier patients are at increased risk compared to obese patients. I
do recommend a mediterranean style diet--lots of fish, fruits and
vegetables, olive oil, etc. It has been shown to be protective. The
diet is a little more expensive than the standard American meat and
potatoes diet, but is healthier for you.

Of non-prescription medicines, I do tell my patients to take omega-3
tablets. I recommend a reputable company that promises mercury-free
pills. I also do suggest 1 or 2 drinks a day (any alcohol, not just red
wine is protective) but you cannot save it up for 1 night and drink 14.
Moderate alcohol is the key in the prevention trials.

Finally, you have not mentioned what your EF is. If it is less than
40%, you need a defibrillator.

Good luck with you with your coping with this disease you have. I know
you feel relatively alone now, but unfortunately, I feel that we are
going to see soon younger and younger myocardial infarctions.

.

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