DOI: 10.36347/sjams.2019.v07i07.036

Pages: 2460-2465

Aims: To match the rick factors and pattern of coronary artery involvement in young acute coronary syndrome patients thereupon of the old. Objective: To assess the Risk Factors and Pattern of Coronary Artery Involvement in Young Acute Coronary Syndrome cardiac Patients. Methods: This was a cross sectional analytical study done in the Department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh throughout Nov 2017 to 2018. Results: The present study intended to compare the risk factors and coronary artery involvement between younger and elder ACS included a total of 101 patients. Of them 51 were £50 years and considered as young (case) and 49 were above 50 years were older (control). Males and females were 76 and 25 respectively. The mean ages of the younger and the elder group were 38.6 ± 4.3 and 58.9± 8.7 years respectively, while the mean ages of the males and females 49.0 ± 12.7 and 45.9 ± 10.4 years respectively. Study population was divided into 2 subgroups, those 18-50 years were thought of as young and people >50 years were thought of as old. Young patients had bigger prevalence of smoking, dyslipidemia and positive case history of anemia heart condition (IHD), whereas cardiovascular disease was additional prevailing within the old. Younger patients principally conferred with STEMI and preponderantly had single vessel sickness (SVD), whereas old patients oft conferred with NSTEMI and Unstable angina and had higher incidence of double vessel sickness (DVD) and triple vessel sickness (TVD). Conclusion: Younger patients had a unique pattern of risk factors and coronary artery involvement in comparison to the old.