Özet:

Cardiovascular disease (CVD) is one of the most frequent cause of mortality and morbidity world-wide. Advanced age is one of the most important risk factor for progression of atherosclerosis and coronary artery disease (CAD) is often seen over 45-years in male and 55 years in female population. However, there is a significant increase in the prevalence of myocardial infarction (MI) in young population recently. The aim of this study is to identify the most prevalent risk factors for CAD in the young population who presented with cardiac complaints and underwent coronary angiography (CAG) and to determine the primary and secondary prevention strategies along with the treatment strategies. Method: Young patients who have had cardiac complaints and received CAG during the last 10 years were screened retrospectively. Patient demographics, clinical characteristics and medications were collected retrospectively from the review of the medical records and cardiac catheterization database. A total of 113 cases were enrolled to the study. In all patients CAG was performed. Subjects were then classified in to two main groups according to their needs for revascularisation. Those subjects who didn’t require coronary revascularisation after CAG were enrolled to the control group (Group 1); and those who needed coronary revascularisation were enrolled to the patient group (Group 2). SPSS 15.0 for Windows program was used for statistical analysis. For categorical variables descriptive statistics were; number and percentage. For numerical variables descriptive statistics were; mean, standard deviation, minimum, maximum, median. When the independent two-group comparisons of numerical variables provided normal distribution condition the Student's t test was performed, while Mann-Whitney U test was performed when the normal distribution condition was not met. Rates in independent groups were compared with Chi square test. Statistical significance level of alpha was accepted as p<0,05. Results: The prevalence of male gender was significantly higher than female gender among the groups (p=0.002). There was no statistically significant difference between groups in respect to mean value of BMI (p=0.105). Smoking and average number of cigarettes smoked was significantly higher in Group 2 patients (p<0.001; p=0.002). There were no statistically significant difference between the groups regarding to their additional co-morbidities.

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