Premature Coronary Artery Disease in Young Male Patient with Strong Family History

Background: Premature coronary artery disease (CAD) occurs in those under the age of 45. According to recent studies, PCAD affects 4-10% of the population. PCAD is linked to negative patient outcomes and has a greater impact on quality of life. The easiest way to describe complex interactions between two risk factors is to look at their family history. Case: A 37-year-old man was admitted to Saiful Anwar Hospital to have his anginal discomfort evaluated further. The patient has been suffering from recurrent chest pain for the past five months, yet it is still eased by rest. Wellens Type B, which is specific for significant stenosis of the left anterior descending (LAD) artery, was found on the electrocardiogram. A 46 mm drug-eluting stent (DES) was implanted from the proximal to distal LAD. After a day of observation, the patient was discharged. Discussion: With consideration of atherosclerotic diseases in this patient, we decided to give rivaroxaban as an anticoagulant combined with aspilet and statin high dose. But due to lack of source in our hospital, and patient also denied for further management, treatment for the patient cannot be optimal, so the patient discharge with unresolved limb ischemia. Conclusion: Approach to a patient with PCAD comprises managing traditional risk factors and careful investigation of Family History. Individuals with a positive family history of PCAD should be treated more cautiously.