Özet:

Objective: Our aim in this study was to compare the clinical, laboratory and angiographic features of patients under 45 years of age hospitalized with acute coronary syndrome (heart attack with ST-segment elevation and heart attack without ST-segment elevation) with those in the middle-aged group aged 45-65 years. Materials and Methods: The study was planned retrospectively. The files of patients admitted to our clinic with the diagnosis of acute coronary syndrome and undergoing coronary angiography for the first time were scanned. Those aged 45 and under were considered as young heart attacks, while those over 45 and 65 years of age and under were considered as the control group. Results: In univariate logistic regression analysis results, hypertension (odds ratio (OR): 4.367, 95% confidence interval (CI) [2.631-7.248], p<0.001), DM (OR: 3.252, 95% CI [1.952-5.417]), p<0.001), smoking (OR: 0.614, 95% CI [0.405-0.929], p=0.021), serum glucose level (OR:0.995, 95% CI [0.992-0.998], p=0.003) and frontal QRS While the -T angle (OR: 0.995, 95% CI [0.990-0.999], p=0.017) was significant, multivariate regression analysis showed hypertension (OR: 3.403, 95% CI [1.996-5.801], p<0.001) was determined as possible independent risk factors. Conclusion: As a result, hypertension, diabetes and smoking were found to be the leading causes of heart attack in young patients. Young patients with these risk factors should be examined for coronary artery disease and earlier treatments such as statins and acetylsalicylic acid should be considered. In addition, early diagnosis and treatment of risk factors such as DM, HT and smoking in these patients can prevent the development of heart attack in the young patient group.

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