Nigerian Medical Journal

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 55  |  Issue : 1  |  Page : 44--47

Myocardial infarction in young adults-risk factors and pattern of coronary artery involvement


Rajeev Bhardwaj, Arvind Kandoria, Rajesh Sharma 
 Department of Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
Rajeev Bhardwaj
House No 24, Block 3, US Club, Shimla - 171 001
India

Background Coronary artery disease (CAD) mostly occurs in persons older than 45 years of age. In India, CAD manifests almost a decade earlier than in Western countries. This study was done to study the risk factors and angiographic profile in young patients presenting with acute myocardial infarction (AMI). Patients and Methods: One hundred and twenty four consecutive patients presenting with AMI at less than 40 years of age were studied for risk factors. Coronary angiography was done in all. Results: Out of 124 patients, 123 were male. Mean age was 35.94 ± yrs. One hundred and eighteen had ST elevation myocardial infarction (MI) (95.16%) and six had non ST elevation MI (5.84%). Anterior wall MI was present in 88 patients (70.97%), inferior wall MI in 31 patients (25%) and lateral wall MI in five patients (4.03%). Seventy three patients (58.8%) were smoker, 55 were hypertensive (44.35%), 10 were diabetic (8.06%). Family history of CAD was present in 22 (17.7%) patients. Low High-density lipoprotein (HDL) was seen in 53 patients (42.7%), and high triglycerides in 60 patients (48.38%). Significant CAD was found in 88 (70.96%) patients, 13 (10.48%) had normal coronaries. Single vessel disease was seen in 57 patients, two-vessel disease in 15 patients and three-vessel disease in eight patients. Total 125 lesions were seen and left anterior descending (LAD) was the commonest vessel involved, with 78 lesions (62.4%). Conclusion: AMI in young almost exclusively occurs in male, and ST elevation MI is the main presentation. Anterior wall MI is most common, with LAD being involved in around 2/3 patients. Smoking, hypertension, low HDL and high triglycerides are the major risk factors.


How to cite this article:
Bhardwaj R, Kandoria A, Sharma R. Myocardial infarction in young adults-risk factors and pattern of coronary artery involvement.Niger Med J 2014;55:44-47


How to cite this URL:
Bhardwaj R, Kandoria A, Sharma R. Myocardial infarction in young adults-risk factors and pattern of coronary artery involvement. Niger Med J [serial online] 2014 [cited 2024 Mar 28 ];55:44-47
Available from: https://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2014;volume=55;issue=1;spage=44;epage=47;aulast=Bhardwaj;type=0