RISK FACTORS, POST THROMBOLYTIC RESOLUTION IN STEMI AND PATTERN OF CORONARY ARTERY INVOLVEMENT IN ACUTE CORONARY SYNDROME IN YOUNG ADULTS LESS THAN 30 YEARS OF AGE – A SINGLE CENTER PROSPECTIVE STUDY FROM SOUTH INDIA

DR.DHARMARAJ. G; DR.SWAMINATHAN.N

Volume : VIII, Issue : VI, June - 2018

RISK FACTORS, POST THROMBOLYTIC RESOLUTION IN STEMI AND PATTERN OF CORONARY ARTERY INVOLVEMENT IN ACUTE CORONARY SYNDROME IN YOUNG ADULTS LESS THAN 30 YEARS OF AGE – A SINGLE CENTER PROSPECTIVE STUDY FROM SOUTH INDIA

Dr. Dharmaraj. G, Dr. Swaminathan. N

Abstract :

BACKGROUND:

Acute coronary syndrome is a new epidemic affecting Indians at younger age. The purpose of our study is to find the risk factor profile and pattern of coronary artery involvement in young patients less than 30 years of age.

MATERIALS AND METHODS:

This study was conducted during the period of January 2016 to June 2017. 98 patients had undergone coronary angiography. Risk factors and angiographic profile analysis was done.

RESULTS:

Out of 98 patients, 88 were male. 89 patients had STEMI, 69 had AWMI, 18 had IWMI and 2 had HLWMI. 70(71%) patients were smokers, 11(11%) hypertensive, 9(9%) diabetics. Out of 89 STEMI, 72(81%) were lysed and 42(63%) patients had successful lysis. Significant SVD was seen in 39%, DVD in 3% and TVD 1%. LAD was the commonest 70% vessel involved.

CONCLUSION:

ACS in young is common in male, smokers and STEMI is the most common presentation. LAD is the most common vessel involved (70%).