Pattern of Coronary Artery Affection in Young Patients Presenting with ST Segment Elevation Myocardial Infarction | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 251-256 PDF (309.87 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446587 | ||
| Authors | ||
| Mohamed Memi Abo-elsoud Mohamed* ; Attia Morsy Shokr; Ahmed Saeed Abd-alaziz | ||
| Department of Cardiology, Faculty of Medicine, Al-Azhar University, Egypt | ||
| Abstract | ||
| Background: STEMI is characterized by acute coronary thrombosis accompanied by sustained ST-segment elevation of ≥ 1 mm in ≥ two consecutive ECG leads. Although in young people, acute myocardial infarction (MI) is rather infrequent, its potential for mortality and long-term impairment renders it a significant clinical concern. Objective: To evaluate the postulated risk variables, clinical presentation, angiographic results, and outcomes of acute MI in young people, known as individuals below forty years of age. Methods: The present research is a cross-sectional study comprising 100 patients diagnosed with STEMI. The patients underwent clinical assessment, standard laboratory tests, electrocardiogram, Echocardiography, and coronary angiography for diagnostic and therapeutic objectives. Results: A Total of 100 young participants were included. Participants' sex was predominantly male (89%) with a mean age of 32.8 ± 4.57 years. The most frequently detected type of MI was anterior MI which was detected among (65%) of the patients and the most frequently detected risk factor was smoking which was detected among (78%) of the patients also shows that (65%) of the patients had single-vessel disease, (29%) presented with 2-vessel disease and (6%) 3-vessel disease. Also, the most frequently detected infarcted artery was LAD, which was detected among 66% of the patients. Conclusion: The most common presentation is Anterior STEMI with atherothrombotic events as an underlying etiology. Smoking is the most prevalent risk variable. Approximately 65% of participants exhibit single-vessel disease, and the most frequently involved artery was the left anterior descending artery. | ||
| Keywords | ||
| Coronary Anatomy And Physiology; Coronary Artery Diseases; ST Segment Elevation Myocardial Infarction | ||
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