Dr khurram Irshad, Dr Fahad Liaqat Dr Ibtisam Ilahi
Introduction: Ischemic heart disease is the leading cause of death worldwide. In recent years, CAD has been more frequently recognized among younger age groups. There is very limited data available on the incidence of various risk factors in our younger patients, so this study was scheduled. The aim of the study was to search for risk factors most frequently occurring in our young patient with the first acute myocardial infarction. And also, to check the number of risk factors present in each patient. Place and Duration: The descriptive cross-sectional study was conducted at the Punjab Institute of Cardiology Lahore for one-year duration from April 2019 to April 2020. Methods: 100 consecutive patients 16–45 years of age with first acute MI were studied. Twelve risk factors were examined namely gender, family history of premature coronary artery disease, smoking hypertension, diabetes, dyslipidemia, obesity, mental stress (Type A personality), alcohol, oral contraceptive pills (OCP), exercise and diet. We divided the patients into two groups. Group A with patients up to 35 years of age and group B with patients aged 36–45 years. All risk factors in both groups were compared. Results: Smoking, diabetes, dyslipidemia, and hypertension were statistically different in the two groups. Risk factors related to frequency were ranked as male (91%), Diet (66%), dyslipidemia (62%), smoking (46%), personality type A (46%), family history (32%), diabetes (28 %), sedentary lifestyle (26%), hypertension (22%), obesity (17%), alcohol (3%) and OCP (0%) The majority of patients, 94%, had 3 or more risk factors. Conclusion: Smoking, hypertension, diabetes, and dyslipidemia are the main modifiable risk factors in our young adults. Coronary heart disease is always suspected if a young male smoker or young female diabetic comes to the ER with chest pain. Other conventional risk factors are also common, but alcohol and OCP are not a major health problem for us. Key words: risk factors, young patients, acute myocardial infarction.