DOI: 10.36347/sasjm.2021.v07i09.015

Pages: 465-474

Background: AMI happens earlier and more often in South Asians compared to Western populations. In Bangladesh, very little information is known about the connections between avoidable risk factors and outcomes of AMI in young people. This research aims to discover risk variables and the in-hospital results of AMI among those under the age of 40 in Bangladesh. Methods: A cohort study of individuals with an acute case of Acute ST-Segment Elevation MI (STEMI) was done, which examined all patients aged under 40 and over 40 years of age in successive groups of 50. The clinical findings, biochemistry data, nutrition, and echocardiography result of the participants were compared against each other, including an examination and hospitalization outcomes. Regression analysis was done to determine the risk factors related to a patient's hospital-based treatment, controlling for other confounding variables previously discovered. Results: Young and older patients were about 36.5 and 57 years old, respectively. The most striking factors contributing to the greater incidence of AMI in the younger group were their age (OR 3.4, 95% CI 1.2–9.75), smoking (OR 2.4, 95% CI 1.04–5.62), family history of myocardial infarction (OR 2.4, 95% CI 1.11–5.54), homocysteine (OR 1.2, 95% CI 1.08–1.36), and frequent consumption of rice (OR 3.5, 95% CI 1.15–10.6). Lastly, beef consumption (OR 4.5, 95% CI 1.83–11.3) also contributed to a greater AMI risk. Older patients were considerably more likely to experience heart failure (a 70% higher probability), reinfarction (a 50% higher chance), arrhythmia (a 70% higher chance), and cardiogenic shock (a 6-fold larger risk) in multivariate analysis. Conclusion: Young AMI patients tend to have better outcomes in the hospital than their older counterparts since they have a distinct risk profile. To help Bangladesh youth avoid life-shortening diseases, Bangladesh should reduce avoidable risk factors, such as smoking, bad food, obesity, and poor ......