| dc.description.abstract | Background. Acute myocardial infarction (IMA) in young patients is a matter of
concern as it has a major impact on the patient and family, including psychological
impact, social life, and socio-economic life. However, the characteristics and
outcomes of IMA in young patients remain poorly described. Objective. To
determine the characteristics and outcomes of acute myocardial infarction in young
patients. Methods. Descriptive study with cross sectional design. Data were
obtained through the medical records of 64 patients aged ≤ 40 years at H.Adam
Malik Hospital in 2022-2023. Data were compared between patients aged ≤ 40
years and age > 40 years. Results and Discussion. Male dominance (89.1%) with
the most risk factors were smoking (78.1%), dyslipidemia (70.3%), hypertension
(32.8%) and diabetes mellitus (23.4%). The majority were STEMI (93.8%) and
predominantly LVEF > 40%. Mortality rate was high with 9 deaths (14.1%),
arrhythmia 40.6% and heart failure 7.8%. 70% of patients underwent PCI therapy.
Mean troponin I level was 9.96 ± 7.91 ng/ml. Mean creatinine and ureum levels
were 1.25 ± 0.89 mg/dl and 35.7 ± 28.0 mg, respectively. Mean sodium, potassium,
and chloride levels were 140 ± 6 mEq/L, 4.6 ± 4.5 mEq/L, and 103 ± 4.4 mEq/L.
Mean levels of total cholesterol, triglycerides, HDL, and LDL were 163 ± 41 mg/dl,
138 ± 78 mg/dl, 30.8 ± 9.6 mg/dl, and 109 ± 64. Conclusion. Patients were
predominantly male, smoking and dyslipidemia. Abnormal results were found to be
elevated troponin I and low HDL. The diagnosis of IMA is dominated by STEMI
and overall the outcome in the hospital is quite good with the dominance of PCI
therapy. | en_US |
