A Study of Serum Testosterone Levels in Young Patients with Coronary Artery Disease in Western Rajasthan

Background There are few data regarding acute coronary syndrome (ACS) in young adults. ACS in young adults may have some characteristics that are different from those in older populations. Objective To study the epidemiologic profile and serum testosterone levels of patients suffering from Acute Coronary Syndrome in Western Rajasthan. Methods It was a cross sectional study conducted at Dept of medicine, MDM Hospital, Jodhpur. A Total of 64 patients were evaluated having age less than 40yrs and presenting with ACS. Patients above 40yrs and with chronic diseases were excluded. Results Total 64 pts were evaluated. All were males. Of them 50 were having ACS and 14 had Non Cardiac complaints. Out of 50 ACS pts 38 % each were in the age group of 31-35 and 36-40 yrs and 8 % pts were in the age group of 21-25 yrs. Out of 50 ACS 25 % pts had AWMI and 18.8 % had IWMI and 18 % had NSTEMI. Out of 50 ACS pts 76 % had Low S. Testosterone and 24 % had normal S. Testosterone level. Conclusions 76 % cases had low serum Testosterone level at the time of ACS and 24 % had normal testosterone level.64.3 % controls had normal testosterone level and 35.7 % controls had low testosterone level. The effect of low testosterone on ACS is statistically significant. The maximum number of patients in this study who had Acute coronary Syndrome were in the age group between 31-40 years.25 % of study population had Anterior wall MI. Young patients are more likely to have ST elevated MI.