Clinical Predictors of acute Myocardial Infarction among young adults beyond covid 19 infection and vaccination era

Background; COVID-19, a respiratory illness caused by the SARS-CoV-2 RNA virus, first appeared in Wuhan, China in December 2019 and quickly expanded worldwide. Aims and objectives: to early detection of all risk factors & clinical profile of young and very young adults with acute MI with trial for early prevention of acute MI in these patients and study complication of COVID vaccines on cardiovascular system. Subjects and methods; This retrospective study was conducted at Cardiology department, Zagazig University hospital. This study was conducted on 104 patients who were devided into two groups: Young group: 52 patients, Very young group: 52 patients. Result;Clinically, 86.67% of patients had chest tightness, 35.56% had palpitations, 33.33% had dyspnea, and 11.11% had chest pain. ECG readings showed 37.78% had premature atrial contractions and 28.89% had sinus tachycardia. Outcomes showed no significant difference in follow-up but significant differences in eʹ, E/e′, GCS, and highly significant differences in IVSd and GLS. Conclusion; We concluded that the clinical characteristics and variables linked to acute myocardial infarction (AMI) following COVID-19 immunization vary across various age groups. There was a strong correlation between lifestyle variables and acute myocardial infarction (AMI) in young individuals after receiving the COVID-19 vaccine