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.

References

  1. AMI in very young (aged ≤ 35 years) Bangladeshi patients:

https://www.sciencedirect.com/science/article/pii/S2405587515300238 by M Kalimuddin - 2016

  1. Acute myocardial infarction: Clinical features and outcomes in young

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3386311/ by CP Wong – 2012

  1. Genetic risk factors in myocardial infarction at young age. – NCBI https://www.ncbi.nlm.nih.gov/pubmed/15284679 by E Incalcaterra - 2004
  2. AMI in young - Indian Perspective – Research Gate https://www.researchgate.net/.../295893715_AMI_in_young_-_Indian_Perspective
  3. Acute Myocardial Infarction in Women - Circulation circ.ahajournals.org/content/circulationaha/133/9/916.full.pdf by LS Mehta – 2016
  4. Journal of the American College of Cardiology.Trends in Acute Myocardial Infarction in Young Patients and Differences by Sex and Race, 2001 to 2010.Aakriti Gupta, Yongfei Wang, John A. Spertus, Mary Geda, Nancy Lorenze, Chileshe Nkonde-Price, Gail D'Onofrio, Judith H. Lichtman and Harlan M. Krumholz
  5. Sudden Cardiac Arrest in a Young AMI Patient ... - ZOLL LifeVest https://lifevest.zoll.com/sites/default/files/CSIN_PCICaseStudy_JulyAugust2012
  6. Myocardial infarction in young adults-risk factors and pattern of coronary artery involvement Rajeev Bhardwaj, Arvind Kandoria, Niger Med J. 2014 Jan-Feb; 55(1): 44–47.doi: 10.4103/0300-1652.128161
  7. ARYA Atheroscler. 2017 Mar; 13(2): 79–87.Acute myocardial infarction in very young adults: A clinical presentation, risk factors, hospital outcome index, and their angiographic characteristics in North India-AMIYA Study. Santosh Kumar Sinha, 1 Vinay Krishna, 1 Ramesh Thakur, 2 Ashutosh Kumar, 3 Vikas Mishra, 3 Mukesh Jitendra Jha, 3Karandeep Singh, 3 Mohit Sachan, 3 Rupesh Sinha, 3 Mohammad Asif,3 Nasar Afdaali, 3 and Chandra Mohan
  8. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279- 0861.Volume 15, Issue 1 Ver. VII (Jan. 2016), PP 25-30 www.iosrjournals.org DOI: 10.9790/0853-15172530 www.iosrjournals.org 25 | Page Acute myocardial infarction in young adults of North East India : a clinical and angiographic study Pranab Jyoti Bhattacharyya1 1 (Associate Professor, Department of Cardiology, Gauhati Medical College College/ Srimanta Sankardeva University of Health Sciences, Country India)

Corresponding Author

Sourav Sau
Assistant Professor, Radiotherapy Dept. BMCH Burdwan, West Bengal, India