Volume : 4, Issue : 1, January - 2015

Risk factor profile and Coronary artery disease pattern in young adults from Western part of India.

Dr. Dhara R Karelia, Dr. Vishal Niyatra

Abstract :

<p>Background : upcoming epidemiological studies point towards increasing incidence of coronary artery disease(CAD)< /> along with earlier occurrence of the disease affecting the person in their prime time of life. We must be aware of this< /> trends and should search for the specific reason for this occurrence.< /> Objective : The aim of the present study is to identify the presence of conventional and newer novel risk factors ( hs&ndash;CRP, Homocysteine ) among< /> the young CAD patients and compare their risk factors with the coronary angiography(CAG) findings.< /> Materials and Methods : conventional and newer biomarkers of CAD were collected for all young patients presenting with acute coronary< /> syndrome and their coronary angiographic study results were collected. Analysis of the risk factors parameters and CAG results were done, to< /> compare this with the general population< /> Results : out of 152, 138 were male. Hypertension and Diabetes were 10.5% and 11.8% respectively. very high number of patients were Smoker< /> 80% . only 42% patients had their BMI within normal limit. Cholesterol and LDL level were not significantly high. STEMI was the major presenting< /> pattern with angiography showing single vessel disease and single lesion pattern higher in number< /> Conclusions: There is an increasing trend towards development of CAD in younger population with the trend towards less prevalent diabetes and< /> hypertension and significant positive association with the smoking. Young CAD patients tend to present more frequently with ST elevation MI< /> and more likely to have single vessel disease on CAG.</p>