Burhan Akhtar, Nauman Ali, Rana Kashif.
Pattern of angiographic findings in young patients presenting with acute ST segment elevation myocardial infarction.
Pak Heart J Jan ;48(3):125-9.

Objective: To investigate angiographic patterns in young patients presenting with acute ST segment elevation MI and various factors which may probably affect this problem. Methodology: This observational cross sectional study was conducted at Chaudary Pervaiz Elahi institute of cardiology Multan from January 2013 to August 2013. Patients with acute ST segment elevation myocardial infarction were included. Detailed history was taken about risk factors. Proper investigations (fasting blood glucose and total cholesterol) were carried out,where needed, to check for the risk factors. Angiographic patterns were noted and listed in appropriate proforma. We divided the patients into two groups according to their age and gender and analyzed angiographic patterns according to different risk factors. Results: A total of 101 total patients of either genders were included. Of them 15.8% were diabetic, 56.4% were smoker, 27.7% had family history of premature ischaemic heart disease, 13.9% were hypertensive while 7.9% had hyperlipidemia. 79.2% patients had LAD involved, 42.5% patients had RCA involved, 26.7% patients had LCX involved while 4.9% patients had Ramus intermedius 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 myocardial infarction most common risk factor was smoking, most common vessel involved was left anterior descending artery while most patients had single vessel disease and mild left ventricular systolic dysfunction. +-

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