Why the study?
ACS in people under age 35 is a distinct subset with differing clinical presentations and coronary artery involvement, requiring a better understanding of common factors to improve management.
Young patients (≤35 years) with ACS in Bangladesh are predominantly male, with high rates of hypertension and smoking, and frequently present with non-critical coronary arteries or single-vessel disease.
ACS in patients <35 requires age-specific evaluation; observational data leaves optimal strategies open.
Introduction: Acute coronary syndrome in people under the age of 35 is a distinct subset of the population with a different clinical presentation than older individuals. The pattern and intensity of coronary artery involvement vary, indicating a varied underlying etiology. Improved management will result from a better grasp of this unique challenge. The aim of the study was to understand the common factors and features affecting patients with ACS. Methods: This cross-sectional observational study was conducted at the department of cardiology, Prime Medical College Hospital, Rangpur, Bangladesh during the period of January 2019 to December 2020. A total of 40 participants were selected through purposive sampling technique following the inclusion and exclusion criteria. Result: Male: Female ratio was 9:1, and majority (67.5%) were from the age group of 31-35 years. Obesity was observed in 12.5% of the participants, while 27.5% were overweight. 22.5% of the participants had mild stress, while the remaining 15% of the participants had moderate levels of stress. Chest pain was a common presentation among all the participants, and 30% had shortness of breath. Conclusion: The Acute coronary syndrome in young is almost exclusively seen in male. Smoking, family history of coronary artery disease, dyslipidemia, raised LpA are major risk factors.
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Hossain et al. (2022) studied this question.
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