Myocardial infarction in patients aged 35 and below

ABSTRACT

To define the risk factors, clinical presentation and outcome of patients of AMI, aged 35 and below. Design: A retrospective analytical study conducted over a period of 5 years [From 01-08-1991 to 31-07-1996]. Setting: Punjab Institute of Cardiology, Lahore. Subjects. One hundred and eleven patients, aged 35 and below, presenting with AMI. Main Outcome Measures: Risk factors, clinical presentation, outcome and mortality in AMI below the age of 35. Of the total 111 patients 103 [92.7%] were males and 8 [7.2%] were females. One [0.9%] was below 21 years of age, 9[8.1%] between 21 to 25 years, 21 [18.9%] between 26 to 30 and 80 [72.07%] of the patients were between 31 to 35 years of age. Major risk factor turned out to be smoking [79.2%] followed by family history [39.6%]. 5[4.5%] patients had DM and 9[8.1%] had hyperlipidemia. The commonest anatomical location for Ml was Inferior wall [43.24%]. In 5[4.5%] of the patients Ml re-occurred within one year. In hospital mortality after first episode of Ml was 4.5%. Major risk factor for AMI at young age is smoking followed by family history and other factors