European Journal of Cardiovascular Medicine

Introduction:  Acute myocardial infarction is a public health problem in developed and developing countries. Previously seen in older age group, now has become commoner in younger age groups also. Aims & Objectives:The primary objective of this study is to characterize the clinical presentation, cardiovascular risk factors profile and coronary angiographic patterns in young adults less than 40 years presenting with ST elevation Myocardial Infarction (MI).Materials and Methods: In the present study we are analysing 50 patients with ST elevation MI in a tertiary care hospital, demographic variables, angiographic profiles and outcomes.Results: In our study, there were 26 patients diagnosed with Anterior wall MI having LAD involvement. 13 patients with Inferior wall MI, with RCA as the culprit artery. 4 patients had double vessel disease with LCX and LAD involvement, and one patient had triple vessel disease. This infers that the Anterior wall MI is more common in young MI group (<40 years), Inferior wall MI being next common with few Lateral wall MI with LCX as culprit artery. In our study, there were 10 Diabetics, 12 Hypertensives, 21 Smokers, & 24 alcoholics with overlapping risk factors. Focused public health initiatives, early screening for cardiovascular risk factors, and tailored preventive strategies are imperative to curb the rising burden of premature coronary artery disease in this population. Larger, multicentre studies with long-term follow-up are warranted to further elucidate outcomes and refine management approaches for young patients with STEMI. Conclusion: Young STEMI patients constitute a significant and vulnerable subgroup with unique clinical and angiographic characteristics.