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MODIFIABLE RISK FACTORS AFTER FIRST MYOCARDIAL INFARCTION IN YOUNG ADULTS

Dr. Ashok Kumar, Dr. Lajpat Rai, Dr. Muhammad Aslam, Dr. Altaf Hussain, Dr. Jagat Ram

Background: Modifiable risk factors (RF) have a significant role in the prognosis and development of acute myocardial infarction (AMI). OBJECTIVE: In this study, we determine the incidence of modifiable risk factors like, gender and race differences after 1st acute myocardial infarction. Study design: A retrospective analysis. Place and Duration: In the Department of Cardiology, NICVD Satellite Centre Nawab Shah for one year duration from January 2018 to January 2019. Materials and Methods: In 2017–2018, adults aged 18 to 59 years old who have acute myocardial infarction for the first time were selected. In these patients, race, prevalence rates and gender variation as well as trends in diabetes, hypertension, smoking, obesity, drug abuse and dyslipidemia were examined. Results: Among the authors, 400 young adults had initial AMI (mean age 50± 7, 71.5% men, 19.2% were from 18 to 45 years and 80.8% were 45 and 60 years old. year. In the 18-45 age group, smoking was more frequent (57.2%), hypertension (46.2%) and dyslipidemia (52.2%), and 91.03% of patients had minimum one risk factor. In the 46-60 age group, dyslipidemia (56.9%), smoking (52.3%) and hypertension (60.02%) were most common risk factors, and 92.5% of patients had minimum one risk factor. Substantial differences in race and sex were observed in individual RF formations. The incidence of diabetes, hypertension and obesity is higher in women, and dyslipidemia, drug abuse and smoking are higher in men. The incidence of all these RF has increased temporarily, except for the recently decreasing dyslipidemia rate. Trends are generally consistent between sex and race groups. Conclusion: During the 1st acute myocardial infarction in young adults in which precautionary measures are supposed to be very operative, modifiable risk factors increased with time and were more prevalent. Keywords: acute myocardial infarction, modifiable risk factors, dyslipidemia.

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