RISK FACTORS FOR ACUTE MYOCARDIAL INFARCTION IN YOUNG ADULTS OF KURDISTAN PROVINCE, IRAN

Authors

DEPARTMENT OF CARDIOLOGY, TOHID HOSPITAL, KURDISTAN UNIVERSITY OF MEDICAL SCIENCES, ABIDAR STREET, SANANDAJ, KURDISTAN, ISLAMIC REPUBLIC OF IRAN

Abstract

Objective: This study was performed to define the risk factors of young patients (£45 years old) who presented to our department with an acute myocardial infarction (MI).
Methods: This case-control study was conducted over a 3-year period from March 2002 to April 2005 in a hospital admitting unselected patients with non-fatal acute myocardial infarction. Risk factor assessment was done in 72 subjects aged ≤45 years with a first acute myocardial infarct and in 143 age and sex-matched population-based controls.
Results: The mean (SD) age of the subjects was 40.11 (5.43) years, and 68 (84.5%) were male. In all, 70 subjects (32.55%) were current smokers: 43 (59.72%) in the case group and 27 (19.00%) in the control group (OR: 6.37, CI: 3.24-12.6, P=0.0001). Regular exercise had an independently protective effect on acute myocardial infarction in our young patients (OR: 0.24, 95% Cl: 0.08 to 0.70). Diabetes (OR: 7.66, CI: 2.2-29.15, p=0.0001) was associated with a higher risk of acute myocardial infarction in young adults, but the differences between hypertension (p=0.197), familial history of premature coronary artery disease (CAD) (p=0.25) and body mass index (BMI) (p=0.11) were not significant.
Conclusion: According to the results of this study, smoking is a leading risk factor for early acute myocardial infarction in our young patients in the Kurdistan province, which was modulated with primary prevention.

Keywords

Iranian Heart Journal
Volume 6, Issue 4
June 2005
Pages 44-48

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