PREVALENCE OF MYOCARDIAL INFARCTION IN YOUNG ADULTS AT DURG DISTRICT CHHATTISGARH: CLINICAL PRESENTATION AND RISK FACTORS

Dr. Dilip Ratnani and *Dr. Ambad Ranjit

ABSTRACT

Background: Acute myocardial infarction (AMI) in young is relatively uncommon but it is of great concern for the physician as these patients present with the different clinical presentation Myocardial infarction (MI) is the lethal manifestation of CHD and can present as sudden death in young adults. Smoking, obesity, and lack of physical activity in adolescent are the major contributing risk factors for the MI in young adults. Material And Methods: 87 patients of age >18 years and <45 years were included in the study who presented with the acute myocardial infarction. Detail history was taken from all the patients and was clinically evaluated. All routine tests were done. Anthropometric and clinical examination was carried out. Various risk factors such as smoking habits, physical inactivity, stressful life events, family history of premature CAD were identified. Results: Mean age of the patients presenting with acute MI was 30± 4.56 years. Out of 87 patients 85 (97.7%) were male while only 2 (2.3%) were female. Smoking was the most common associated risk factor in MI patients 65(74.71%). All smokers were male. Second most common risk factor was obesity 35(40.23%) followed by physical inactivity in 33(37.93%) cases. Chest pain was observed as a commonest symptom 83(95.40%), followed by sweating 80(91.95%). Conclusion: Early stabilisation in golden hour should be followed by risk stratification. Risk factors modification should be emphasised. Smoking, family history of premature CAD, Physical inactivity, and obesity were the most common risk factors. Most complications were occurred in diabetic patients.

Keywords: Acute myocardial infarction (AMI).