Bushra Zaidi, Arsalan Zaidi, Jawad Zahir, Bushra Khar, Faisal Murad, Tabish Hussain.
Risk factors and the presenting symptoms among young males with acute coronary syndrome.
J Rawal Med Coll Jan ;16(2):87-9.

Background: To evaluate the most common predisposing risk factors and presenting symptoms of acute coronary syndrome (ACS) occurring among the young males aged below 49 years. Methods: In this descriptive study a total of 200 cases of confirmed and diagnosed ACS males aged below 49 years presenting for the first time were included. History, clinical findings and laboratory investigations were recorded to evaluate each case individually. Risk factors and the presenting picture were studied in detail so as to evaluate the outcome. Results: Major risk factors were smoking (64.5%),hypertension(45%),diabetes mellitus(37%) and alcoholism(4.5%).Dyslipidemias were found in 86.6% cases(97/112 patients).Chest pain (93%) followed by sweating(69%) and palpitations(60.5%) was the commonest clinical presentation. Majority (99%) of the patients were with positive ECG changes while 93.5% had raised cardiac enzymes on serum biochemistry. Conclusion: The rising incidence of ACS among young population especially males has common risk factors and specific symptoms.

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