Modifiable Risk Factors in Diagnosed Cases of Acute ST Elevation Myocardial Infarction in Young Patients Presenting at Tertiary Care Hospital in Peshawar

Abstract

Objectives: The objective of this study was to determine the frequency of modifiable risk factors in young patients diagnosed with acute ST elevation myocardial infarction (STEMI). Methodology: A cross-sectional study was conducted at the cardiology department of Lady Reading Hospital, Peshawar. A total of 236 patients presented with acute STEMI, between 18 to 50 years of age of either gender were included. All the included patients were subjected to detailed history and clinical examination and modifiable risk factors were observed. Results: Out of 236 patients, 42 (18%) patients were in age range 18-30 years and 194 (82%) patients were in age range 31-50 years. Mean age was 42±9.77 years, 156 (66%) patients were male. In total, 90 (38%) patients had sedentary lifestyle, 45 (19%) patients had positive history of atrial fibrillation. More over 92 (39%) patients were diabetic, 153 (65%) patients were hypertensive, 99 (42%) patients were smokers, 73 (31%) patients had dyslipidaemia, and 64 (27%) patients were obese. Conclusion: It has been observed that modifiable risk factors were prevalent in a vast majority of the young patients presenting with acute STEMI. Among these, sedentary lifestyle, smoking, obesity, and metabolic risk factors such as diabetes and dyslipidaemia need immediate attention.