Am J Cardiovasc Dis 2013;3(3):170-174

Original Article
Risk factor assessment of young patients with acute myocardial infarction

Gohar Jamil, Mujgan Jamil, Hind AlKhazraji, Amber Haque, Fares Chedid, Manjula Balasubramanian, Bahaa Khairallah,
Anwer Qureshi

Division of Cardiology, Tawam Hospital, PO Box 15258, Al Ain, United Arab Emirates; Division of Internal Medicine, Tawam
Hospital, PO Box 15258, Al Ain, United Arab Emirates; Department of Pediatrics, Tawam Hospital, PO Box 15258, Al Ain,
United Arab Emirates; Department of Psychology and Counseling, UAE University, Al Ain, UAE

Received May 25, 2013; Accepted June 11, 2013; Epub August 16, 2013; Published August 30, 2013

Abstract: The Middle East represents an attractive area for young individuals to seek employment, where they are exposed
to numerous environmental conditions. The pursuit of a better standard of living has driven hundreds to the Middle East
over the recent decades. This influx has also resulted in a predisposition to premature coronary artery disease (CAD). The
aim of this study was to provide an overview of the risk factors in patients younger than 45 years, presenting with acute
myocardial infarction (AMI). Out of the 148 patients analyzed, 137 were males and 11 females. 119 were from South Asia
and 29 were Arabs. Their mean age was 36 ± 4.2 years. Smoking was the most prevalent risk factor in both groups at
67.6%. This was followed by hypertension, family history of CAD, hyperlipidemia and Diabetes mellitus. There was no
significant difference in the clinical risk factor profile between these two groups. ST elevation myocardial infarction (STEMI)
was noted in 67.6%, while 32.4% patients suffered a Non ST elevation myocardial infarction (NSTEMI). 84.5% received
coronary stents, 8.8% had lone thrombus aspiration or balloon angioplasty only, while the rest were treated by conservative
medical management or referred for coronary artery bypass surgery. Conclusion: There is no significant difference in the
CAD risk profile between young South Asian and Arab patients. Preventive strategies focused on risk factor reduction,
especially smoking cessation, should be implemented to protect young adults in the most productive years of their life.
(AJCD1305003).

Keywords: Young patients, acute myocardial infarction, smoking

Address correspondence to: Dr. Gohar Jamil, Division of Cardiology, Tawam Hospital, PO Box 15258, Al Ain, United Arab
Emirates. Tel: 0097501398358; Fax: 0097137672560; E-mail: goharjamil@gmail.com
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