Naeem Hameed, Shahid Abbas, Imtiaz Ahmad, Rehan Riaz, Shahid Iqbal, Ghias.
Frequency of Three Vessel Coronary Artery Disease in Young patients of age Less Than 40 Years Undergoing Diagnostic Coronary Angiography Admitted with Acute Coronary Syndrome.
J Cardiovascular Dis Jan ;15(3):77-81.

BACKGROUND AND OBJECTIVE: Cardiovascular disease is commonly associated with increased mortality. In patients with age less than 40 one third deaths occur due to cardiovascular morbidity. 1 In young patients it commonly manifests in the form of acute coronary syndrome. More severe form of disease can be present in young patients depending upon presence of risk factors. Different areas of world has different pattern of disease. The purpose of this study was to determine the frequency of three vessel coronary artery disease in young patients with age less than 40 years. MATERIAL AND METHODS:We studied the disease severity in Pakistani population. This cross sectional, observational study was conducted at Faisalabad institute of Cardiology, from 07-07- 2017 to 06-01-2018. Patients of Acute Coronary Syndrome were included after obtaining informed consent. Patients of age less than 40 years regardless of gender were enrolled in study. Total number of 90 patients were included and underwent coronary angiography during hospital stay. Frequency of TVCAD was noted. The mean age was 35.72+-3.64. 76.7% (69) were male and 23.3% (19) female. 55.6% (50) patients were having STEMI, 30% (27) NSTEMI and 14.4% (13) unstable angina. TVCAD was found in 24.4% (22) patients. Youngest patient with TVCAD was of 27 years age. CONCLUSION:In our population the coronary artery disease is in more severer form as compared to other population groups.

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