Risk factors and coronary angiographic profile of very young patients with acute Myocardial Infarction –a tertiary center experience
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 1
Abstract
Background: Coronary artery disease is a devastating disease precisely because an otherwise healthy person in the prime of life may die or become disabled without warning. When the afflicted individual is under the age of 35, the tragic consequences for family, friends, and occupation are particularly catastrophic and unexpected. The purpose of the present study was to assess the risk factors, angiographic profile, and in-hospital outcome of very young patients (aged ≤35 years) with first acute myocardial infarction (AMI). Methods: A cross-sectional study was conducted involving 180 young (≤35 years) patients with clinical diagnosis of AMI. They were studied for risk factors, clinical characteristics, and in-hospital outcome between February 2015 and October 2016 at Government medical college ,Trivandrum. Coronary angiography was done in 150 patients. Results: The mean age of patients was 31.4 ± 3.43 years; 97.2% were male. The major risk factor was smoking, followed by dyslipidemia, family history of ischemic heart disease. The most common anatomical location for the MI was the anterior wall. Significant coronary artery disease was found in 92.2% patients, 7.8% patients had normal coronaries. Most patients had single vessel disease followed by double-vessel disease. Left anterior descending was the commonest vessel involved followed by left circumflex artery. In-hospital mortality was 2.3%. Conclusion: AMI in very young almost exclusively occurs in male and smoking was the most common risk factor. Acute anterior MI owing to occluded left anterior descending artery was more frequent. Very young patients with an AMI have a favorable in-hospital mortality
Authors and Affiliations
Baiju Rajan, Krishnakumar Prabhakaran
Keywords
Related Articles
- EP ID EP217100
- DOI -
- Views 71
- Downloads 0
A STUDY ON THE CURRENT STATUS OF NEONATAL TRANSPORT TO A SPECIAL NEWBORN CARE UNIT
Introduction: Neonatal care in India has witnessed a revolution in the last 10 years under the auspices of National Rural Health Mission (NRHM). The major causes of neonatal mortality in developing countries are Prematur...
Splenic Hydatid Cyst: A Case Report
Hydatid disease is endemic in farming areas but occurs worldwide. The most common site of disease is the liver, followed by the lungs, kidney, bones and brain. Other sites such as the heart, spleen, pancreas and muscles...
A CASE OF RECTUS SHEATH HEMATOMA IN PREGNANCY PRESENTING AS DEGENERATING UTERINE FIBROID
Rectus sheath hematoma is an uncommon condition characterized by acute abdominal pain and the appearance of an abdominal wall mass which leads to diagnostic dilemma in pregnant women. Here a case report of a 32 years old...
HIRAYAMA DISEASE –CERVICAL FLEXION MYELOPATHYA CASE REPORT
Hirayama disease, a kind of cervical myelopathy related to flexion movements of the neck. A healthy 19 year old male developed insidious onset of atrophy of muscles of left hand and forearm. MRI cervical spine non flexio...
Correlation of Agaston Score in Obstructive and Non-obstructive Coronary Artery Disease following ST segment elevation Myocardial Infarction
The purpose of the study is to compare coronary artery calcium score in patients with Obstructive & Non obstructive coronary artery disease CAD and to compare coronary artery calcium score in patients with single & multi...