As the incidence of non communicable disease is increasing we are nding many young patients getting admitted with Acute coronary syndrome. This is a retrospective study of young adults below 46 yrs of age in our medical college from rural central India over a period of March 2020 to March 2021. This consists of comprehensive data of management, risk factors & clinical features of young acute coronary syndrome. Methods: 108 patients who underwent coronary angiogram were included in this study. This is a retrospective record based cross sectional study including patients with acute coronary syndrome of less than 46 years age group at RVM Institute of medical sciences and research center during March 2020 to March 2021. Demographic details, risk factors and investigations and ndings were noted. This is a record based study. Results: Mean age of the patients was 38.86years with a standard deviation of 5.325years and patient with least age was 27years. STEMI, NSTEMI and Unstable angina were found to be 48.1%, 18.5% and 33.3% respectively. Age of the individuals admitted with ACS are as follows <30 yrs (10.2%), 30-35(20.4%), 35-40(26.9%), 40-45(42.6%). Male 63% and female constituting 37% of population. Risk factors including Hypertension(19%), diabetes mellitus(13%), alcohol(32%), smoking(12%). Ejection fraction of <40 constituting 8.3%, 40-50 constituting 28.7%, 50-60 constituting 35.2%, >60 constitutes 27.8%. management medically done for 68% patients by thrombolytics, managed by PTCAfor 33% and by CABG for 4% patients. In 33% of patients managed by PTCA, single stent is used for around 75% of patients. Two stents(19%), three stents and four stents for 3% each. 20% of individuals are diagnosed with normal coronaries, followed by single vessel disease(25%), double vessel disease(12%), triple vessel disease(2%), LMCAlesion(2%), myocardial bridging(18%), coronaries with slow ow(16%), recanalised coronaries(4%), with patent stent(2%). In our study obstructive lesion constitutes 42% and non-obstructive constituting 58%, predominantly involving LAD with mid part of the coronary. Conclusion: out of 480 patients who got admitted with acute coronary syndrome of all the age groups 108 patients were found to be less than 46years. Our study concludes male predominance in young acute coronary syndrome. Presence of risk factors like hypertension and smoking more predominantly. STEMI with Anterior wall myocardial infarction being most common, predominantly single vessel disease affecting mid part of LAD. Majority were managed medically followed by mechanical reperfusion.
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