ABSTRACT
To assess the extent and severity of coronary artery disease [CAD] in 200 consecutive patients aged 35 years or less undergoing diagnostic coronary angiography. Findings in these 200 patients [= 35 years of age] were analyzed to find the extent and severity of CAD. The mean age was 31.69 [ +/- 3.76] years. Majority were males [94%] and from the Arab ethnicity [70.5%]. Smoking [71%] and history of premature CAD [27%] were the most frequent risk factors [RF]. History of previous ST elevation myocardial infarction [MI] was present in 68%. Anterior wall MI was the most frequent location [63.3%]. The majority [54.3%] had moderate or large size MI. Ejection fraction [EF] less than 50% was noted in 30.3%. Left main or triple vessel CAD was seen in 15%. One- and two-vessel CAD was seen in 32.5% and 19% patients, respectively. Coronary angiogram was completely normal in 23.5%. The majority [54.5%] were treated conservatively and the rest [45.5%] needed percutaneous coronary intervention [PCI] or coronary artery bypass graft [CABG]. The mean number of stents used was 1.3 +/- 0.67 and the mean length of stents used was 20.3 +/- 12.6 mm. The extent and severity of CAD was very significant in this subgroup of very young [= 35 years] Asian patients. Smoking was the main risk factor and half of the patients needed either PCI or CABG