الفهرس 
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Abstract
Among young and middle aged patients hospitalized for premature coronary
heart disease in Egypt, the prevalence rates of major modifiable RFs were very high.
Traditional risk factors, such as smoking, obesity, dyslipidemia, HTN, DM,
family history of premature CHD and familial hypercholesterolemia were
significantly related to premature CHD.
We also concluded that Acute MI especially STEMI is the most frequent
presentation in patients with premature CHD.
Gender difference is also noted in the pattern of prevalence of some risk
factors such as, higher prevalence of metabolic risk factors in females while smoking
is higher in males.
Pattern of dyslipidemia also differed between males and females, as low HDL
cholesterol was the most common finding in males meanwhile high LDL cholesterol
was the most common pattern of dyslipidemia in females.
Familial hypercholesterolemia was frequent among patients with premature
CHD. This may advocate for better screening of FH during the hospital
stay, in order to plan specific referral to lipid clinics for diet counselling, extended
maintenance of high dose statin therapy, and identification of family membersc