DIFFERENCES IN ANGIOGRAPHIC CHARACTERISTICS OF YOUNG AND THE ELDERLY PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN AFIC

Abstract

Objective: To assess the differences of angiographic features of young and old with STEMI.

Study Design: Descriptive cross sectional study.

Place and Duration of Study: This study was conducted at Department of Cardiology, AFIC & NIHD Rawalpindi from Jan to Aug 2017.

Material and Methods: A total of 602 patients with STEMI who underwent Primary PCI from Jan 2017 to Aug 2017, were included in this study. Two groups were formulated on the basis of age group. Group-A were younger age group with 40 years of age or less. Group-B included patients older than 40 years. They were compared with respect to risk factors and angiographic characteristics.

Results: A total of 602 patients with STEMI under gone primary PCI. Fifty three patients were in group-A while 549 patients were in group-B. Males were predominant in this cohort with 83% and 87% in group-A and B respectively. Family history of premature CAD was predominate in group-A, i.e. About 12 (22.6%) as compared to group-B i.e. 54 (9.9%). The most common infarct related artery was LAD in group-A. Single vessel disease was
common in group-A 34 (64.15%) while triple vessel disease was common in group-B 195 (35.6%). There was no mortality in younger group while mortality rate in group was 16 (2.9%).

Conclusion: Single vessel coronary artery disease and anterior wall STEMI was common in younger group. Family history of premature CAD, smoking and dyslipidemia were the associated risk factors in young patients with STEMI.