Key result
In young patients aged 25-45 years presenting with ST-elevation myocardial infarction, the left anterior descending artery was identified as the culprit vessel in 46.1% of cases.
Why the study?
To determine the frequency of left anterior descending artery involvement as a culprit vessel in young patients with STEMI at a tertiary care hospital.
Cross-Sectional (n=191)
No
The left anterior descending artery is the culprit vessel in nearly half of young patients (25-45 years) presenting with STEMI, highlighting a high frequency of LAD involvement in this demographic.
LAD culprit frequency in young STEMI may inform angiographic prioritization; leaves open whether this pattern extends to outcomes or risk stratification.
Objective: To determine the frequency of left anterior descending artery involvement as a culprit vessel in young patient with ST elevation myocardial infarction (STEMI) at tertiary care hospital. Study Design: A cross-sectional study. Place and Duration: The Department of Cardiology, “National Institute of Cardiovascular Diseases, Karachi” Pakistan from October 2019 to April 2020. Methodology: Patients of both genders aged 25-45 years who were presented with onset of chest pain for more than 30 minutes with STEMI were included. All patients were clinically evaluated after detailed history. Routine biochemistry investigations were asked and ECG and echocardiography were performed. Frequency of left anterior descending artery involvement in patients with STEMI was noted. Results: In a total of 191 patients, mean age was 33.6±6.7 years while mean duration of chest pain was 42.5±8.3 minutes. There were 135 (70.7%) male and 56 (29.3%) female cases. In distribution of vessel disease, 76 (39.8%) had single vessel disease (SVD), 37 (19.37%) had double vessel disease (DVD) while 78 (40.84%) had triple vessel disease (TVD). Left anterior descending artery found to be positive in 88 (46.1%) patients. Practical Implications: To reduce the complications of STEMI, it is very important to increase the awareness and proper knowledge in the general public. Conclusion: Involvement of left anterior descending artery as a culprit vessel was fairly common in young patient with ST elevation myocardial infarction.
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Sabeen et al. (2022) conducted a cross-sectional in ST elevation myocardial infarction (STEMI) (n=191). Left anterior descending artery involvement was evaluated on Frequency of left anterior descending artery involvement as a culprit vessel. In young patients aged 25-45 years presenting with ST-elevation myocardial infarction, the left anterior descending artery was identified as the culprit vessel in 46.1% of cases.
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