BACKGROUND: Acute myocardial infarction (AMI) is one of the causes of death in developing and developed countries which must be carefully studied to reduce mortality and morbidity. It is the irreversible state of the myocardium from prolonged ischemia as a result of blockage in the coronary artery.

AIM OF STUDY: To identify the correlation between high density lipoprotein (HDL), low density lipoprotein (LDL),triglycerides (TGL), electrolytes with abnormalities on echocardiography (ECHO) in AMI patients who smoke and abuse alcohol.

METHOD OF STUDY: Data was sampled from 20 patients clinically diagnosed with AMI and analyzed the data using statistical tool, Analysis of variance (ANOVA).

RESULTS: Significant differences was revealed in the lipid profile levels (p= 0.003<0.05). Even though there were no significant differences between electrolytes, HDL and TGL were low but within normal range whiles LDL levels were higher than normal. On ECHO, revealed left ventricular hypertrophy with segmental left ventricular wall motion abnormalities (hypokinesia and akinesia).

CONCLUSION:  The increase in LDL and low normal HDL and TGL levels led to the abnormalities in the kinesis of the myocardium in AMI patients which could be attributed to smoking, alcohol abuse and hypertension.