A STUDY OF RISK FACTORS, CLINICAL PRESENTATION AND CORONARY ANGIOGRAPHIC PROFILE IN YOUNG PATIENTS WITH ACUTE MYOCARDIAL INFACTION IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA

Abstract

INTRODUCTION Acute coronary syndrome is a devastating disease because an otherwise healthy person may die or become disabled without warning. Cerebrovascular diseases (CVD) are no longer conned by geographical area or by age, sex, or socioeconomic boundaries. Heart disease has already reached epidemic proportions in poorer countries also. AIMS AND OBJECTIVESAMI was dened as typical rise and fall of cardiac markers of myocardial necrosis with at least one of the following: Ischemic symptoms, Electrocardiogram (ECG) changes indicative of ischemia (ST elevation or depression), Development of Pathological Q waves in ECG and Echocardiograph evidence of new regional wall motion abnormality. MATERIALS AND METHODS SETTING AND STUDYPOPULATION- Hospital based study in Nil Ratan Sircar Medical College and Hospital among the patients admitted in department of Cardiology SAMPLE SIZE- 50 patients STUDYPERIOD- From January 2016-December 2017 STUDYDESIGN- Prospective observational study. RESULT AND ANALYSIS We found that 30% of our patients were hypertensive this is more than reported in various studies .61,62 Though Hypertension is therefore less common in young MI patients than in older patient but in my study 30% of patients less than 40 yrs were hypertensive. CONCLUSION Normotensive and non obese patients had more likelihood of normal CAG and their association was statistically signicant. Young patients with positive family h/0 CAD had more prevalence of LMCAdisease and thrombus and their correlation is statistically signicant.