ISSN 1016-5169 | E-ISSN 1308-4488
The Relationship Between The Age Of First Acute Coronary Syndrome Episode And İnternal Migration [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-44373 | DOI: 10.5543/tkda.2023.44373

The Relationship Between The Age Of First Acute Coronary Syndrome Episode And İnternal Migration

Deniz Demirci1, Duygu Ersan Demirci2, Gerald Chi3, C. Michael Gibson3
1University of Health Sciences, Istanbul Training and Research Hospital, Istanbul, Turkiye
2Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkiye
3Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, USA

It has been shown that migration has an increasing effect on the risk of cardiovascular events. However, these studies are mostly related to international migration. There are very few studies on the relationship between internal migration and cardiovascular disease. The aim of the current study was to evaluate the effect of internal migration on the age of the first acute coronary syndrome (ACS) episode.

The study was designed as a cross-sectional, observational study that enrolled 1261 consecutive patients diagnosed with the first episode of ACS between 2014 and 2020. Patients born and living in Antalya, were included in the non-immigrated group, and those born in another city in Turkey and settled to live in Antalya were included in the immigrated group. The effect of internal migration and other risk factors on the age of the first ACS was calculated by regression analysis.

Immigrants were younger than non-immigrants at the time of ACS (55.4±10.7 years vs. 60.0±13.36 years, p<0.001). Linear regression analysis showed that migration is an independent risk factor for ACS at an earlier age (-2.07, p<0.001). The socioeconomic status of the migrant group was not lower than the non-immigrant group.

Internal migration may be a risk factor associated with ACS at an earlier age when compared to non-immigrants. This finding needs to be tested in multicenter epidemiological studies.

Keywords: Acute coronary syndromes, age, cardiovascular risk, immigration.

How to cite this article

Corresponding Author: Deniz Demirci, Türkiye
Manuscript Language: English

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