Risk Factors Of ACS In Young Adults: A Cross-Sectional Analysis

Introduction: Acute coronary syndrome (ACS) is a leading cause of morbidity and mortality worldwide, with its prevalence rising among younger adults. While traditionally considered a condition affecting older individuals, recent studies have highlighted an increasing incidence of ACS in younger populations, emphasizing the importance of identifying early risk factors. This study aimed to assess the prevalence of risk factors of ACS in young adults. Methods: This cross-sectional observational study was conducted at the Department of Cardiology in 250 Baded General Hospital, Naogaon, Bangladesh. The study duration was one year. The study population consisted of a total of 100 young adults under the age of 35 years who were admitted to the study hospital for some form of acute coronary syndromes and had undergone coronary angiograms during the study period. Data analysis was carried out by using the statistical package SPSS version 23.0 Windows software. Result: The study of 100 participants found that 90% were male, with the majority (67%) aged 31-35 years. Most had normal BMI (83%), and 63% reported no stress. Chest pain was the most common symptom (95%), and hypertension (70%) was the most prevalent risk factor, followed by diabetes (55%) and smoking (43%). ECG findings showed that 50% had ST-segment elevation. Lipid profiles revealed elevated triglycerides (212.0 mg/dl) and LDL-C (138.3 mg/dl), with HDL-C within normal limits (39.1 mg/dl). Conclusion: This study concludes that the increasing prevalence of ACS among young adults and emphasizes the role of traditional risk factors such as hypertension, diabetes, dyslipidemia, smoking, and stress. The clinical and diagnostic findings in this study, including typical chest pain, ST-segment elevation on ECG, and elevated lipid levels, align with previous research, underlining the need for early detection and intervention to reduce the burden of ACS in younger populations