Volume 8 Supplement 1

Abstracts from EMCON 2014: International Conference on Emergency Medicine; 16th Annual Conference by the Society for Emergency Medicine in India (SEMI)

Open Access

Incidence and risk factors of acute coronary syndrome in younger age groups

  • Abhishek Sharma1Email author,
  • Yasser Chomayil1,
  • Firoz Abdul Karim1 and
  • Venugopalan Poovathum Parambil1
International Journal of Emergency Medicine20158(Suppl 1):P4


Published: 22 April 2015


Acute Coronary Syndrome (ACS) is one of the major causes of mortality and morbidity globally. The incidence of ACS in the younger population is rising; hence, there is a need for more careful evaluation and proper disposition of this subset population.

This study determines the incidence, risk factors and mortality of Myocardial Infarction (STEMI & NSTEMI) among hospitalized patients presenting to the ED with chest pain ages 40 years or less.


Patient-records were reviewed and collected from the Medical Record Department and analyzed in terms of variables such as risk factors, type of MI, and mortality.

This was a retrospective study of all patients who presented to the ED and were admitted with a diagnosis of Myocardial Infarction at MIMS Kottakkal over a span of 2 years (August 2012- August 2014). All patients aged 18-40 presenting to ED with a complaint of chest pain / discomfort and admitted with a diagnosis of myocardial infarction were included, and patients with congenital cardiac defects were excluded.


A total of 955 patients were admitted with Myocardial Infarction in these 2 years, out of which 37 patients (3.9 %) fulfilled the inclusion criteria. The mean age was 36.14 years, Male:Female ratio was found to be 8:1 . Incidence of AWMI, IWMI, NSTEMI and LWMI were 36.2 %, 33.33 %,30.5 % and nil cases respectively. The risk factors in our patients were dyslipidemia, smoking, diabetes and hypertension , & family history.


Healthcare providers should be vigilant and have a high index of suspicion when dealing with patients presenting with chest pain less than 40 years old than to discharge them as non-cardiac pain without appropriate evaluation and workup.

Authors’ Affiliations

MIMS Kottakkal


© Sharma et al; licensee Springer. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.