ANALYSIS OF CORONARY ARTERIAL LESIONS IN YOUNG PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Introduction: Coronary heart disease (CHD) is the leading cause of death world-wide. Although men have higher rates than women at all ages, and coronary disease occurs up to 10 years later in women. Aims and objectives: The basic aim of the study is to analyze the coronary arterial lesions in young patients with acute myocardial infarction. Material and methods: This descriptive study was conducted in DHQ Hospital, Gujranwala during October 2018 to March 2019. The data was collected from 100 patients through non probability sampling technique. We included patients aged < 40 years of age who underwent coronary angiography. All patients were clinically evaluated after detail history taking. Results: The data was collected from 100 patients. The mean age of the patients was 26 +/- 3.9 years, with a maximum number of patients (60.2%) being within the age of 25-30 years and the rest in the age group of 20-25 years. The youngest patient was 20.1 years old. AMI in very young patients was highly prevalent in urban population (63.9%). Smoking was the most common risk factor (77.4%), hyperlipidemia being the second common risk factor (78.5%), whereas 46.8% of the patients had a family history of premature CAD. Conclusion: It is concluded that smoking, family history of premature CAD, hyper-homo cysteinemia and obesity were the most common risk factors.