Although MI, fortunately, is an uncommon entity in young adults aged less than 45 years, it constitutes an important problem for both the patient and the treating physician. It has a devastating effect on the more active lifestyle of young patients. These young patients also have a different risk factor profile, clinical presentation, and prognosis in comparison with older patients, which has to be taken into consideration when treating these young adults presenting with MI. The increased prevalence of risk factors for CHD may set up an alarming trend.
Substance misuse, coronary artery anomalies, premature coronary artery disease, and hypercoagulable state have to be considered in all patients with suspected MI who are less than 45 years. Early stabilisation should be followed by risk stratification, and early revascularisation, where appropriate, should be offered as it carries a better clinical outcome. Risk factors modification should be emphasised. We strongly emphasise the importance of secondary preventive measures in all young patients admitted with MI as the long term mortality can reach up to one third if not treated appropriately. ... Read More »