PATTERN OF ANGIOGRAPHIC FINDINGS IN YOUNG PATIENTS PRESENTING WITH ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

Abstract

Objective:To investigate angiographic patterns in young patients presenting withacute ST segment elevation MI and various factors which may probably affectthis problem.

Methodology: This observational cross sectional study was conducted atChaudary Pervaiz Elahi institute of cardiology Multan from January 2013 toAugust 2013. Patients with acute ST segment elevation myocardial infarctionwere included. Detailed history was taken about risk factors. Properinvestigations (fasting blood glucose and total cholesterol) were carried out,where needed, to check for the risk factors. Angiographic patterns were notedand listed in appropriate proforma. We divided the patients into two groupsaccording to their age and gender and analyzed angiographic patterns accordingto different risk factors.

Results: A total of 101 total patients of either genders were included. Of them15.8% were diabetic, 56.4% were smoker, 27.7% had family history of prematureischaemic heart disease, 13.9% were hypertensive while 7.9% hadhyperlipidemia. 79.2% patients had LAD involved, 42.5% patients had RCAinvolved, 26.7% patients had LCX involved while 4.9% patients had Ramusintermedius involvement. About 63.4% patients had single vessel disease, 23.8%patients had double vessel disease while 12.9% had triple vessel disease.

Conclusion: In young patients with acute ST segment elevation myocardialinfarction most common risk factor was smoking, most common vessel involvedwas left anterior descending artery while most patients had single vessel diseaseand mild left ventricular systolic dysfunction.