ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Unveiling the Precursors: A Comprehensive Assessment of Risk Factors for Premature Acute Myocardial Infarction


    Dr. Mohd Shahid, Dr. Mukesh Kumar Tiwari, Dr Abhishek Sachdeva, Dr Ratinder Pal Singh,
    JCDR. 2023: 208-212

    Abstract

    Myocardial infarction (MI), colloquially known as "heart attack," is caused by decreased or complete cessation of blood flow to a portion of the myocardium. Myocardial infarction may be"silent," and go undetected, or it could be a catastrophic event leading to hemodynamic deterioration and sudden death. Aims and objectives: This study was conducted to evaluate the risk factors of premature acute myocardial infarction. Material and methods: For this investigation, a total of 100 individuals with acute myocardial infarction as the primary diagnosis were chosen. These participants were split into two groups of 50 each. 50 participants from the first group had premature AMI, while 50 participants from the second group did not. The study excluded participants under the age of 18 and those who experienced myocardial injury as a result of aetiologies such interventional procedures, cardiac and non-cardiac surgery, heart failure, trauma, or viral shock.Age at the time of the AMI, gender, height, weight, smoking history, family history of CHD, diabetes, dyslipidemia, chronic kidney disease (CKD), peripheral arterial disease (PAD), and stroke were among the variables taken from the patients' medical records at the time of hospitalisation. Results: The study population consisted of 100 AMI patients. AMI was evident in 76 males and 24 females. The premature AMI group consisted of 47 males and 3 females while there were 29 males as well as 21 females in the non-premature AMI group.The most common risk factors in the general population were dyslipidemia (63%), hypertension (71%), smoking (69%), obesity (87%) and diabetes mellitus (84%). Risk factors include obesity and a family history of CHD were more common in the preterm AMI group than in the non-premature AMI group. The non-premature AMI group had higher rates of hypertension, diabetes, CKD, smoking, dyslipidemia, and stroke. Conclusion: AMI in young patients is associated with unhealthy lifestyles such as smoking, dyslipidemia, and obesity. Low LVEF, elevated NT-proBNP peak level, and the occurrence of in-hospital MACCEs were predictors of poor prognosis in premature AMI patients

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    Volume & Issue

    Volume 14 Issue 6

    Keywords