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Cardiogenic shock was observed in Among cases Prakash Aryal. Shankar Laudari. Senthilkumar Gopalakrishnan. Kalsoom Bibi. Objective: To determine the risk factors leading to ST Elevation Myocardial infarction in young patients presenting to a tertiary care hospital,Islamabad Pakistan Methodology: Prospective observational study was conducted at Pakistan Institute of Medical Sciences, Cardiology department, Islamabad, Pakistan for duration of 10 months.

Study was conducted on sample size of selected through non-probability consecutive sampling technique. Study included participants with age less than or equals to 45 and participants from both genders.

However, participants with Age more than 45and those having non ST myocardial infarction were excluded. Data was entered and analyzed using statistical package for social sciences SPSS. Results: Mean age of participant was found to be Mean HB level Jabar Ali.