Volume 06 Issue 12 December 2018 Hits: 1448

Title: Profile of Myocardial Infarction in young patient of age 40 years or below in a tertiary care hospital mainly Tribal based Population

Authors: Saikat Sau, Sourav Sau, Lina Mukherjee

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.176

Abstract

Objective: To   determine   the   outcome   of   young   AMI   patient at  index hospitalisation.

Background: Coronary artery disease has a  devastating  consequence  precisely because another wise healthy person in the prime time of life may die or become disabled   without   prior   warning.   India   now   in   fourth   stage   of   epidemiological transition where Cardiovascular disease is a leading cause of mortality & morbidity. Youngs   are   not   immuned.   In   our   study   we   try   to   establish   the   risk   factor, presentation,  complication  in  hospital  mortality  &  outcome  of  young  adults  (age <40yrs) in our geographic area after 1stAMI.

Method:  Total 112 patients admitted in  our  hospital  at  B.S.M.C.  (Bankura , west bengal) after 1st AMI was studied .Data collected from 1stJuly 2016 to 31stDecember 2017 after considering the exclusion criteria with known ischemic heart disease.

Result:  Mean   age   of   presentation   was   36.3yrs.   Risk   factors   were   smoking, dyslipidaemia, other form of tobacco abuse, and family history of CAD & Hypertension. Most common presentation was chest pain. Anterior wall was most commonly affected. Young females are comparatively immuned.  Presentation  was  relatively late  as  it  was  rural  based  population  &  lack  of  knowledge.  Only twelve patients undergo cardiac catheterisation during index hospitalization.

Conclusions: i) Prognosis is relatively good compare to old age as from other iterature.

  1. ii) Most considerable demonstrated risk factor in young is male sex.

iii) Patient educational status, proper counseling & availability of resources are important for successful outcome.

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