Property | Value |
Name | Acute myocardial infarction in young. |
Description | Original research article:- Dr. Goornavar. S.M. MD1 , Dr.Pramiladevi.R. MD2, Dr. Biradar.Satish.B. MD3 , Dr. Malaji Sangamesh MD 4 ,Dr. Kora .S.A. MD5, Dr.Narayan.M MS. 6
1.Asst- Professor , Dept. of Medicine, S.Nijalingappa Medical College ,Bagalkot-587102 Karnataka India. 2.Associate Professor, Dept. of Medicine, S.Nijalingappa Medical College Bagalkot-587102 Karnataka India. 3.Asst- Professor , Dept. of Medicine, S.Nijalingappa Medical College ,Bagalkot-587102 Karnataka India. 4.Asst- Professor , Dept. of Microbiology, S.Nijalingappa Medical ,College Bagalkot-587102 Karnataka India . 5.Associate Professor , Dept. of Medicine, S.Nijalingappa Medical ,College Bagalkot-587102 Karnataka India. 6.Senior Resident , Dept. of Surgery, S.Nijalingappa Medical College ,Bagalkot-587102 Karnataka India.
Abstract:- Context: Myocardial infarction is being recognized in younger age group in recent years. Myocardial infarction in the young adult may differ from that in the elderly by virtue of its greater incidence of risk factors and atherosclerotic etiology, the heavy preponderance of male patients and better prognosis. 6% of all acute myocardial infarction and perhaps 4 times the percentage of patients with this diagnosis younger than 40 years do not have coronary atherosclerotic demonstrated by coronary angiography. They have relatively few coronary risk factors often have a history of cigarette smoking. Aim: This study was therefore carried out 1. To study the etiological profile of acute Ml in young (at or below the age of 40 years) and 2. To study the Electrocardiographic, Echocardiographic, Angiographic Correlation in patients with acute Ml in young (at or below the age of 40 years). Materials and Methods: This study was carried out at the ICCU SNMC & HSK hospital and Research Centre Bagalkot during the period from 1st 2008 to 1st 2009. Results and Conclusions: There were 350 patients of acute myocardial infarction. There were 38 patients below the age of 40 years forming 10.8% of all acute Ml’s. There were 36 males (94.7%) and 2 female (5.3%). There was no mortality seen. Coronary atherosclerosis (73%) was the most common etiology observed in 22 patients out of 30 patients. Normal coronaries (26.6%) were seen in 8 patients out of 30 patients. Smoking was the major modifiable risk factor seen in both the groups, followed by dyslipidemia hypertension. Coronary angiographic analysis revealed SVD in (68%), DVD (22.5%) and TVD (9%). Proximal LAD was the most common site involved (68.7%). In the Normal Coronaries group, the coronary risk factors included smoking (62.5%), dyslipidemia (37.5%), hypertension (25%) and diabetes (12.5%) and family history of CAD (37.5%).
Key Words:- Hypertension, Dyslipidemia, Myocardial Infarcation, Angiography, Single vessel disease, Double vessel disease, Triple vessel disease. |
Filename | Goornavar S M et.al..pdf |
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Created On: | 07/17/2011 00:00 |
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