• Abdul Wajid Khan Faisal
  • Mohammad Ayub
  • Tariq Waseem
  • Rao Shahzad Abdul Tawwab Khan
  • Syed Sibitul Hasnain


Background: Ischemic heart disease is a leading cause of death throughout the world. CAD has beenrecognized among younger age group more frequently in recent years. Very limited data is availableregarding the prevalence of various risk factors in our younger patients that is why this study wasplaned. Objectives of the study were to look for the risk factors most prevalent in our young patient of1st Acute Myocardial Infarction. And to also look for the number of Risk Factors present in eachpatient. Methods: We studied 100 consecutive patients from 16–45 years of age presenting with firstacute MI. Twelve risk factors were studied namely, gender, family history of premature CAD, smokinghypertension, diabetes, dyslipidemia, obesity, mental stress (type A personality), alcohol, oralcontraceptive pills (OCPs), physical activity, and diet. We divided the patients into two groups. GroupA with patients 35 years of age or less and group B with patients 36–45 years of age. All risk factorswere compared in both the groups. Results: Smoking, diabetes mellitus, dyslipidemia and hypertensionwere statistically different between the two groups. Frequency wise risk factors were lined up as malesex (91%) Diet (66%), Dyslipidemia (62%), smoking (46%), Type A personality(46%), family history(32%), diabetes mellitus (28%), sedentary lifestyle (26%), hypertension (22%), obesity (17%), alcohol(3%), and OCPs (0%) Most of the patients that is 94% had 3 or more risk factors. Conclusion:Smoking, hypertension, diabetes and dyslipidemia are the major modifiable risk factors in our youngadults. If a young male who is smoker or a young female who is diabetic, presents in emergency roomwith chest pain, always suspect coronary artery disease. Other conventional risk factors are alsoprevalent but alcohol and OCPs are not a major health problem for us.Keywords: Risk factors, young patients, acute myocardial infarction


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