Introduction:

there is a growing number of acute coronary syndromes in young patients without obstructive coronary artery disease. There are no published studies from our region, so we performed this study.

Objectives:

to evaluate demographic and clinical characteristics, risk factors and angiography characteristics of patients of 18-50 years of age presenting acute coronary syndromes and in whom no obstructive coronary artery disease is detected.

Methodology:

this is a retrospective, cross sectional study. Clinical charts were evaluated searching for patients between 18 and 50 years of age, with acute coronary syndrome, in whom a coronary angiography was performed.

Results:

of 128 young adults with acute coronary syndrome, 50 of them had no obstructive coronary artery disease. Male gender predominated (74%), with a median age of 43 years. The most common symptom was typical chest pain (88%), with a median time to the first medical contact of six hours. The most common risk factor was excess of weight (57,7%). 34% of patients had ST segment elevation. Seven of the patients had coronary thrombosis without obstructive lesions. Median time to discharge was two days.

Discussion:

The high prevalence of risk factors, mainly excess weight, brings attention into the opportunity for primary prevention interventions.

Conclusions:

The main risk factor was excess weight. Clinical course at presentation and during the hospitalization was benign, since there were few complications and no early mortality. More studies are required with a prospective design for assessing long term clinical behavior. MÉD.UIS. 2018;31(3):13-19.

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