Clinical and Risk Factor Profile of Acute Myocardial Infarction (Ami) in Young

Main Article Content

Swathi. B. S
Nimrah Fathima
Bernice Roberts


Researchers have conducted an evaluation and have reached the conclusion that AMI has considerable potential to impact a normal lifestyle, particularly among young adults. Therefore, our study was conducted to evaluate the risk factors and clinical characteristics associated with young patients diagnosed with ST-elevation myocardial infarction (STEMI). The study conducted was a cross-sectional study, spanning a total duration of one year. Patients between the ages of 15 and 40 who presented with a clinical history of ischemic chest pain and exhibited characteristic electrocardiogram changes were eligible for inclusion in the study. The prevalence of smoking as a risk factor was found to be the highest at 85%, followed by dyslipidemia at 80%. Diabetes was reported as a risk factor in 10% of cases, while hypertension was identified in 5% of cases. Additionally, a positive family history of myocardial infarction was present in 15% of cases. Hence, it is imperative to establish Regional Systems of STEMI and PCI care to ensure efficient management of cases. Additionally, the implementation of educational programs focused on smoking cessation practices and the establishment of clinics dedicated to this purpose are necessary.

Article Details

How to Cite
Swathi. B. S, Nimrah Fathima, & Bernice Roberts. (2023). Clinical and Risk Factor Profile of Acute Myocardial Infarction (Ami) in Young . Journal of Coastal Life Medicine, 11(2), 1635–1642. Retrieved from


Fournier J, Sanchez A, Quero J, Fernandez-Cortacero J, González-Barrero A: Myocardial infarction in men aged 40 years or less: a prospective clinical-angiographic study. Clin Cardiol 1996, 19(8):631–636.

Garoufalis S, Kouvaras G, Vitsias G, Perdikouris K, Markatou P, Hatzisavas J, Kassinos N, Karidis K, Foussas S: Comparison of angiographic findings, risk factors, and long term follow-up between young and old patients with a history of myocardial infarction. Int J Cardiol 1998, 67(1):75–80.

Weinberger I, Rotenberg Z, Fuchs J, Sagy A, Friedmann J, Agmon J: Myocardial infarction in young adults under 30 years: risk factors and clinical course. Clin Cardiol 1987, 10(1):9–15.

Sinha R, Fisch G, Teague B, Tamborlane WV, Banyas B, Allen K, Savoye M, Rieqer V, Taksali S, Barbetta G, Sherwin RS, Caprio S: Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 2002, 346:802–810.

Egred M, Viswanathan G, Davis G: Myocardial infarction in young adults. Postgrad Med 2005, 81(962):741–745.

Al‑Khadra AH. Clinical profile of young patients with acute myocardial infarction in Saudi Arabia. Int J Cardiol 2003;91:9‑13.

Goornavar SM, Pramiladevi R, Biradar Satish B, Sangamesh M. Acute myocardial infarction in young. J Pharm Biomed Sci 2011;8:1‑5.

Sricharan KN, Rajesh S, Rashmi K, Meghana HC, Badiger S, Mathew S. Study of acute myocardial infarction in young adults: Risk factors, presentation and angiographic findings. J Clin Diagn Res 2012;6:257‑60.

Tamrakar R, Bhatt YD, Kansakar S, Bhattarai M. Acute myocardial infarction in young adults: Study of risk factors. Angiographic features and clinical outcome. Nepal Heart J 2013;10:12‑6.

Zimmerman FH, Cameron A, Fisher LD, Ng G. Myocardial infarction in young adults: Angiographic characterization, risk factors and prognosis (Coronary Artery Surgery Study Registry). J Am Coll Cardiol 1995;26:654‑61.

Choudhury L, Marsh JD. Myocardial Infarction In Young Patients. Am J Med 1999; 107:254‑61

Hong MK, Cho SY, Hong BK, Chang KJ, Mo‑Chung I, Hyoung‑Lee M, et al. Acute myocardial infarction in the young adults. Yonsei Med J 1994;35:184‑9.

Adhikari CM, Rajbhandari R, Limbu YR, Malla R, Sharma R, Rauniyar B, et al. A study on major cardiovascular risk factors in acute coronary syndrome (ACS) patient 40 years and below admitted in CCU of Shahid Gangalal National Heart Center. Nepal Heart J 2010;7:20‑4.

Madjid M, Awan I, Willerson JT, Casscells SW. Leukocyte count and coronary heart disease: implications for risk assessment. J Am Coll Cardiol 2004;44(10):1945–56.

Barron HV, Cannon CP, Murphy SA, Braunwald E, Gibson CM. Association between white blood cell count, epicardial blood flow, myocardial perfusion, and clinical outcomes in the setting of acute myocardial infarction: a thrombolysis in myocardial infarction 10 substudy. Circulation 2000;102(19): 2329–34.

Cheng ML, Chen CM, Gu PW, Ho HY, Chiu DT. Elevated levels of myeloperoxidase, white blood cell count and 3-chlorotyrosine in Taiwanese patients with acute myocardial infarction. Clin Biochem 2008;41(7–8):554–60.

Menon V, Lessard D, Yarzebski J, Furman MI, Gore JM, Goldberg RJ. Leukocytosis and adverse hospital outcomes after acute myocardial infarction. Am J Cardiol 2003;92(4): 368–72

Blum A. White blood cell count and the coronary anatomy in acute coronary events. Am J Cardiol 2005;95(1):159–60.

Liuzzo G, Biasucci LM, Gallimore JR, et al. The prognostic value of C-reactive protein and serum amyloid a protein in severe unstable angina. N Engl J Med 1994;331:417-424.

Haverkate F, Thompson SG, Pyke SD, et al. Production of C-reactive protein and risk of coronary events in stable and unstable angina. European Concerted Action on Thrombosis and Disabilities Angina Pectoris Study Group. Lancet 1997;349:462-466.

Ferreiros ER, Boissonnet CP, Pizarro R, et al. Independent prognostic value of elevated C-reactive protein in unstable angina. Circulation 1999;100:1958-1963.