Title: An Observational Study on Anterior Wall Involvement and Incidence of Smoking in Myocardial Infarction in Young Adults

Authors: Dr K.Shylaja, Dr N.Paari M.D., Prof. Dr S.Balasubramaniyan.M.D.

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.121

Abstract

   

Aims and Objective: To study the extent of anterior wall involvement and incidence of smoking in myocardial infarction in young adults

Methods: Patients admitted in CCU in RMMCH during the period of Oct 2017 and October 2019were appraised. After satisfying inclusion and exclusion criteria 50 patients were brought forthwith into the study. The demographic profiles, modifiable and non modifiable risk factors for MI, Clinical signs and symptoms, ECG findings, ECHO findings, cardiac enzymes were recorded in a pre-devised proforma.

Results: Of the total patients i.e 50., 78% (n=39)of patients were found to have history of smoking. Among the patients anterior wall involvement was seen in 76 % (n=38)   of patients.

Conclusion: Hence from above observations it has been ascertained that smoking has been implicated to have a major role in myocardial infarction among all modifiable risk factors. Furthermore anterior wall is found to be afflicted more than other regions of myocardium in young adults with myocardial infarction.

References

  1. Enas EA, Dhawan J, Petkar S et al coronary artery disease in Asian Indians
  2. Reulostallones-association between tobacco smoking and coronary heart disease
  3. Myocardial infarction in young adults‑risk factors and pattern of coronary artery involvement. Rajeev Bhardwaj, Arvind Kandoria, Rajesh Sharma
  4. Zimmerman FH, Cameron A, Fisher LD, Ng G. Myocardial infarction in young `adults: Angiographic characteristics, risk factors and prognosis, coronary artery surgery study register (CASS). J Am Coll Cardiol 1995;26:654‑
  5. Myocardial Infarction in Young Adults Under 30 Years: Risk Factors and Clinical Course.,I. Weinbercme. RD. Z. Rotenbermg. D.J. Fuchsm, A. Sagy, M.D. J. Friedmamn. DN.J. Agmonm. D.
  6. Bergstrand R, Vedin A, Wilhelmsson C, Wallin J, Wedel H, Wilhelmsen L: Myocardial infarction among men below age 40. Br HeartJ 40, 783 (1978)
  7. Acute myocardial infarction in very young adults: A clinical presentation, risk factors, hospital outcome index, and their angiographic characteristics in North India-AMIYA Study.
  8. Santosh Kumar Sinha (1), Vinay Krishna (1), Ramesh Thakur Davis JE, Hallal FJ, Cheitlin MD, Gregoratus G, McCarty R, Foote W: Coronary artery disease in young patients: Arteriographic and clinical review of 40 cases ages 35 and under. Am Heart J 87, 689 (1974)
  9. Dolder MA, Oliver MF: Myocardial infarction in young men. Study of risk factors in nine countries. Br Heart J
  10. Wolfe MW, Vacek JL. Myocardial infarction in the young. Angiographic features and risk factor analysis of patients with myocardial infarction at or before the age of 35 years. Chest 1988; 94(5): 926-30.
  11. Myocardial infarction in the young, A. Cengel, A. Tanindi.

Corresponding Author

Dr K.Shylaja

Post Graduate, Department of General Medicine, Rajah Muthiah Medical College & Hospital, Annamalai University, Chidambaram, India – 608002