BACKGROUND. Acute myocardial infarction (AMI) among young people is relatively uncommon. The protection offered by a young age has been slowly taken away by the increased prevalence of risk factors for CHD in adolescents such as smoking, obesity, and lack of physical activity. CASE. This is a case of a 23-year-old male smoker with no known comorbid and heredofamilial diseases who was admitted due to sudden onset of severe, stabbing, substernal chest pain. ECG was done which showed sinus rhythm with some premature ventricular depolarizations occurring in bigeminy, and ST elevation on V4-V6, I and AVL with reciprocal ST depression on III, AVF (Fig 2) consistent with extensive anterior wall myocardial infarction. Troponin I was elevated (7.57 ng/ml). Coronary angiography was done revealing a luminal filling defect at the distal segment of the left main artery consistent with thrombus formation. The patient underwent percutaneous coronary intervention of the left main artery and left anterior descending artery with TIMI III flow after the procedure. He was then discharged improved and was advised to take his home medications with good compliance CONCLUSION. MI in younger patients does carry a better prognosis if appropriately treated to be taken into consideration when treating these young adults presenting with MI. Emphasis on the importance of secondary preventive measures should be noted.
Coronary Angiography ; Percutaneous Coronary Intervention ; Myocardial Infarction ; Risk Factors

INTRODUCTION: Obesity has been linked to the development of type 2 diabetes mellitus (T2DM) and cardiovascular diseases. This study primarily aims to determine the prevalence of obesity among the Filipino patients in our institution since there have been no previous studies on this subset of patients. METHODS: A cross-sectional analytical study of 2,078 patients at the Primary Preventive Cardiology Out-Patient Clinic of the Philippine Heart Center (PHC) was done from January 1, 2002 to December 31, 2017. The prevalence of obesity was determined using the World Health Organization (WHO) and Asian classification. Factors associated with obesity were determined using binary logistic regression analysis. RESULTS: A majority of the patients were females (1499, 71.14%) with a higher mean age compared to the male patients (57.67±10.5 vs 55.66±11.8, p<0.001). Hypertension (68.5%), coronary artery disease (37.1%) and T2DM (20.3%) were the most common co-morbid illnesses in both genders. The mean body mass index (BMI) was 25.8±4.3 kg/m2 for the female patients while it was 25.2±4.1 kg/m2 for the male patients (p<0.001). The prevalence of obesity using the WHO and Asian classifications was 15% (n=312). Compared to the Asian criteria, there were significantly more patients classified as having normal weight (44.09% vs 24.95%, p<0.001) and overweight (37.98% vs 19.13%, p<0.001) using the WHO classification. Pre-obesity, an additional criterion of the Asian classification which was not adopted by WHO was seen in 37.98% of the patients. On multivariate analysis, female gender (OR 1.31, 95% CI [1.08-1.59)] p=0.006) and T2DM (OR 1.25, 95% CI [1.01-1.56], p=0.42) were significant factors associated with obesity while age (OR 0.98, 95% CI [0.98-0.99], p<0.001) was protective of obesity. CONCLUSION: The prevalence of obesity in our cohort was consistent with the worldwide prevalence reported by the WHO which underscores the need for effective weight management programs and primary preventive strategies 7to lower the prevalence and obviate the development of complications related to obesity. Female gender and T2DM were significant factors associated with obesity, while age was a significant protective factor of obesity.
Overweight ; Obesity ; Primary Prevention