This study aims to determine the relation between high homocysteine levels and increased incidence of acute coronary syndrome in young patients

Cross sectional study to:

assess homocysteine level in young adult patients presenting with acute coronary syndrome

Inclusion Criteria:

1. - The patients who presented in the hospital with chest pain consistent with acute coronary syndrome with any of the following features:

   1. Electrocardiogram (ECG) changes:

      • ST elevation
      • ST depression
      • T wave inversion
      • recent left bundle branch block

   2. Troponin T elevation (Norma value < 0.06)

      2- Age: -Between 18- 40 years (Group A) - Age > 40 years (Group B)

      Exclusion Criteria:

      1. Chest pain not consistent with acute coronary syndrome
      2. Chronic kidney disease (CKD)
      3. Rheumatic heart disease (RHD)
      4. Congenital heart disease
      5. Anemia
      6. Cancer

All patients presented with acute coronary syndrome admitted to coronary care unit of Sohag University hospital according to inclusion and exclusion criteria