Key result
Among 40 young adults (<45 years) with acute myocardial infarction, 95% were male, 70% were smokers, and 67.5% presented with anterior wall infarction.
Observational (n=40)
No
May inform targeted smoking cessation in young adults; leaves open larger prospective studies to validate profile.
The incidence of coronary artery disease (CAD) and acute myocardial infarction (AMI) has been recognized more frequently in the young adults now as compared to the last decade. In addition these patients may differ from elderly patients in some aspects, like greater association with smoking, and higher prevalence among males. These patients may also have different clinical presentation as compared to elderly patients. Material and Methods: It was a retrospective descriptive study involving review of case records of 40 young patients less than 45 years of age, who were admitted to Guru Nanak Dev hospital attached to Govt. Medical College, Amritsar and the diagnosis of AMI was established by world health organization (WHO) criteria. Results: Of the study population 95% were males, 70% were smokers, and majority of them had high cholesterol levels. 62.5% of patients were engaged in lower level of physical activity (class I and II), chest pain was most common symptom (87.5%). Anterior wall was the most common site of infarction (67.5%), followed by the inferior wall. (32.5%) Conclusion: AMI in young adults is much more common in males as compared to females. Smoking is the most important modifiable risk factor associated with AMI in young adults.
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A 2017 study conducted an observational in Acute myocardial infarction (n=40). Young age (<45 years) was evaluated on Clinical profile and risk factors. Among 40 young adults (<45 years) with acute myocardial infarction, 95% were male, 70% were smokers, and 67.5% presented with anterior wall infarction.
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