MYOCARDIAL INFARCTION IN YOUNG ADULTS: ITS, CLINICAL PRESENTATION AND RISK FACTORS.

  Coronary heart disease (CHD) is the leading cause of death in the Western countries. Acute myocardial infarction (AMI) in young is relatively uncommon but it is of great concern for the physician as these patients present with the different clinical presentation, risk factors and better prognosis than the older patients. In younger patients and the first onset of angina which rapidly progresses to fully evolved MI is often the case in patients less than 45 years of age. In a young patient presenting with MI care full history should be taken and risk factors such as smoking, obesity, diabetes and history of recurrent venous and arterial thrombosis should also be noted. MATERIAL AND METHODS: 34 patients of age >18 years and <45 years were included in the study who presented with the acute myocardial infarction. Informed consent was obtained from all the patients who were included in the study. Clinical presentation and risk factors were recorded in the prescribed format. Anthropometric and clinical examination was carried out for each patient. Body weight and height were measured and Body mass index (BMI) was calculated using Quetlet’s formula as weight in kg/square of the height in meters. RESULTS: Mean age of the patients presenting with acute MI was 32± 6.21years. The youngest patient was 27 years old while the most common age group was 35-40 with 17(50%) patients. Out of 34 patients 33 (97.05%) were male while only 1 (2.95%) was female. Maximum patients were from urban area 22 (64.70%) while 12 (35.29%) were from the rural area. Smoking and physical inactivity was the most common associated risk factor in MI patients 29(85.29%). All smokers were male. Second most common risk factor was obesity and stressful life 18(52.94%) followed Hypertension in 13(38.24%) cases. In 12(35.29%) cases diabetes was associated as a risk factor. Family history of premature CAD, and dyslipidemia was seen in 11(32.35%) and 8(23.53%) cases respectively. CONCLUSION: Smoking, Physical inactivity, family history of premature CAD, and obesity were the most common risk factors. Early stabilisation in golden hour should be followed by risk stratification, and early revascularisation.