A Comparative Study of Clinical and Angiographic Profile of Acute Stemi Patients in Age Group of Below and Above 40 Years in South Indian Population

Authors

  • Basavaraj B. Sutar1 , Jagadeesh M2 , P.R.Vydianathan3

DOI:

https://doi.org/10.37506/ijocm.v8i1.1304

Keywords:

STEMI, ACS, Novel risk factors, HsCRP, Lipoprotien(a), Homocysteine, CAG

Abstract

Background: ACS-STEMI in young adults may have some characteristics such clinical, novel CVRF’s &

angiographic proile that are different from those in older patients.

Objective: To assess the frequency, risk factors, presenting symptoms, treatment in-hospital outcomes of

young patients with STEMI compared with those of older patients

Material and Method: The present study had 242 cases of acute ST elevation MI of both the sex, aged

below and above 40 years treated in Cardiology department. Risk factors including hsCRP, Lp(a) and

homocystiene; presenting symptoms, in two age groups were analyzed.

Results: Acute ST elevation MI patients in age group below 40 years were 18.6% and in above 40 years age

group were 81.4%. Overall mean age of presentation of STEMI is 54.31 years. STEMI was more common in

younger age group 88.9% than in older age group 76.6%. STEMI was more common in male (78.9%) than

female (21.1%). Overall most common symptom was breathlessness (72.3%), in younger age group chest

pain was common (71.1%). The prevalence of hypertension and DM much or less equally distributed in both

age groups. Prevalence of smoking in younger age group was 64.4% and in older age group 53.3%. A family

history of CAD in younger age group was 35.6% and in older age group 24.9%. Lipoprotein (a) level was

higher in younger age group which is statistically significant. hsCRP levels was increased above the normal

range in older age group patients which was statistically significant.

Conclusion: Acute ST elevation MI patients in age group below 40 years were 18.6% and in above 40 years

age group were 81.4%. Acute STEMI was more common in male than female. Most common symptom

was breathlessness. Lipoprotein (a) was significantly higher in younger age group; hsCRP was significantly

higher in older age group.

Author Biography

Basavaraj B. Sutar1 , Jagadeesh M2 , P.R.Vydianathan3

1 DNB (Med); DNB Cardiology Trainee, GKNM Hospital, Coimbatore, Tamil Nadu, 2 (M.B.B.S) (Medical Student),

Coimbatore Medical College, Coimbatore, Tamil, Nadu, 3 MD, DNB Cardiology, Interventional Cardiologist,

GKNM hospital, Coimbatore, Tamil Nadu, 4 MD, MRCP(uk), CSCST(Cardiology), Senior Interventional

Cardiologist, GKNM Hospital, Coimbatore.Abstract

Published

2020-01-30