Pattern of Coronary Artery Diseases in Patients Under 40 Years of Age With Acute Coronary Syndrome

Balouch, Iram Jehan; Ahmed, Iftikhar; Farooq, Fatima; Raza, Syed Ahsan; Soomro, Najia Aslam; Khan, Muhammd Nauman; Sial, Jawaid Akbar; Karim, Musa

doi:10.47144/phj.v54i2.2089

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Ischemic heart disease (IHD) in young populations, also known as premature coronary artery disease (CAD), continues to be a growing public health concern in our culture 13 . In the past, this condition was thought to be a sickness that only affected older people 14 .…”

Section: Discussionmentioning

confidence: 99%

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Pattern of Coronary Artery Diseases in Patients Having Age Less Than 40 Years with Acute Coronary Syndrome

Zaman¹,

Yaqoob²,

Ilyas³

et al. 2022

PJMHS

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Aim: To assess the pattern of coronary artery diseases in patients older than 40 years with acute coronary syndrome. Material and methods: This cross-sectional study was conducted at the cardiology department of ABC hospital. A total of 130 patients presenting with the acute coronary syndrome were enrolled. The pattern of coronary artery diseases was assessed. Categorical variables were presented as frequencies and percentages, while numerical variables were presented as mean and SD. Results: The mean age of the patients in our study was 27.96±5.48 years. Most of the patients were male, accounting for 106 (81.5%). The most common factor was smoking 55.4% followed by hypertension 51.5%. Single vessel disease was a typical pattern presented in patients 37.7%. Three vessels disease was the second typical pattern observed in 22.3%. Conclusion: Smoking and hypertension are the leading causes of coronary artery diseases. Single vessel disease is the most common pattern in coronary artery disease patients younger than 40 years. Keywords: Acute coronary syndrome, Coronary artery disease, Pattern, Risk factors

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Section: Discussionmentioning

confidence: 99%

“…Smoking was the most common risk factor implicated in our study. According to the findings of another study 13 carried out in Pakistan, smoking was the primary cause of coronary artery disease (CAD), while hypertension was the second most prevalent risk factor associated with developing CAD. These findings are comparable to our study.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Coronary Artery Diseases in Patients Having Age Less Than 40 Years with Acute Coronary Syndrome

Zaman¹,

Yaqoob²,

Ilyas³

et al. 2022

PJMHS

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Acute Coronary Syndrome in Young Adults in Tertiary Health Center of Rural Telangana.

Jain¹,

Rao

Tubachi³

2022

ijsr

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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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Pattern of Coronary Artery Diseases in Patients Under 40 Years of Age With Acute Coronary Syndrome

Cited by 2 publications

References 22 publications

Pattern of Coronary Artery Diseases in Patients Having Age Less Than 40 Years with Acute Coronary Syndrome

Pattern of Coronary Artery Diseases in Patients Having Age Less Than 40 Years with Acute Coronary Syndrome

Acute Coronary Syndrome in Young Adults in Tertiary Health Center of Rural Telangana.

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