Risk Factors and the Presenting Symptoms Among Young Males with Acute Coronary Syndrome

Background: To evaluate the most commonpredisposing risk factors and presenting symptoms ofacute coronary syndrome (ACS) occurring among theyoung males aged below 49 years.Methods: In this descriptive study a total of 200 casesof confirmed and diagnosed ACS males aged below 49years presenting for the first time were included. History,clinical findings and laboratory investigations wererecorded to evaluate each case individually. Risk factorsand the presenting picture were studied in detail so as toevaluate the outcome.Results: Major risk factors were smoking(64.5%),hypertension(45%),diabetes mellitus(37%) andalcoholism(4.5%).Dyslipidemias were found in 86.6%cases(97/112 patients).Chest pain (93%) followed bysweating(69%) and palpitations(60.5%) was the commonestclinical presentation. Majority (99%) of the patients werewith positive ECG changes while 93.5% had raised cardiacenzymes on serum biochemistry.Conclusion: The rising incidence of ACS among youngpopulation especially males has common risk factors andspecific symptoms