Georges Rosario Christian Millogo, Andre Samadoulougou, Jonas Kologo, Nobila Valentin Yameogo, Benoit Sanou, Arthur Seghda, Jean Yves Toguyeni, Caleb Tindano and Patrice Zabsonre
Background: The purpose of this study was to assess epidemiological, clinical, and follow up data in a series of 15 patients consecutively admitted for Myocardial Infarction. Patients were black African and less than 45 years old. Methods: We conducted a retrospective study from January 1st 2010 to December 31st 2012 in the Yalgado Ouedraogo University Hospital in Burkina Faso. We assessed medical records of young patients less than 45 years of age who were consecutively admitted for Myocardial Infarction. Results: A total of 15 young subjects were admitted for myocardial infarction during the study period. Sex ratio was 2.75 for males; mean age was 35 ± 8 years with extremes of 21 and 45 years. Three main cardiovascular risk factors were noticed including hypertension (33.3%), diabetes and smoking (26.7%). Metabolic syndrome was found in three patients (20%). Revealing symptom of myocardial infarction was typical chest pain (80%) and ST + Acute Coronary Syndrome (ACS) diagnosed in all patients. 66.7% of patients were admitted more than 24 hours after the onset of their chest pain. EKG signs of necrosis were mostly found on anterior, septal, and lateral leads (26.7%). Doppler echocardiography found a systolic left ventricular dysfunction in 66.7% of cases. Thrombolysis was only used in 13.3% of patients. Complications were found in 86.7% of cases. Mortality rate was 20%. Conclusion: Myocardial infarction in young black African is more and more common in current cardiology practice. It is therefore necessary to adopt a proactive attitude, mostly primary prevention, targeting young people less than 45 years old.
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