Abstract :
Context: Acute myocardial infarction (AMI) is the leading cause of death in the world.
Objectives: To study clinical and angiographic profile of AMI in young patients.
Materials and Methods: It was two years study conducted at a tertiary care hospital, Sher-i-Kashmir Institute of Medical Sciences Soura, Srinagar. Patients aged equal or less than 40 years, who presented with AMI were included in the study.
Results and Observations: There were total 38 patients in our study population. Mean age of presentation was 35.79±4.83 years. There was male preponderance [34(89.47%) vs 4 (10.52%)]. Among risk factors, smoking constituted the most 32(84.21%), followed by hypertension 9(23.68%), diabetes 4(10.52%) and dyslipidemia 3(7.89%). Anterior wall MI in 18(47.36%) patients was the most common type, followed by inferior wall MI in 13(34.21%) and non-ST segment elevation MI in 7(18.42%). Thrombolysis was done in 26(68.42%), out of which it was successful in 25(96.15%) patients. Angiography was done in 35(92.10%) of patients. SVD in 23(65.71%) patients was the commonest, followed by DVD in 4(11.42%), TVD in 2(5.26%) and LM in 1(2.85%). 5(14.28%) patients had normal coronary angiography. LAD 16(45.71%) was singularly the most common vessel involved. PCI was done in 28(80%) of patients. No death occurred in our study population.
Conclusion: In our study population of AMI in young, males were commonly affected, smoking was the commonest risk factor. AWMI was the most common STEMI and LAD was singularly the most common vessel involved.
Keyword :
Acute myocardial infarction (AMI), Single vessel disease (SVD), Double vessel disease (DVD).