摘要
目的分析男女两性急性心肌梗死(acute myocardial infarction,AMI)的临床特点、冠脉狭窄程度及其危险因素。方法选择2011年10月至2012年12月在我院心内科诊断为AMI并行冠状动脉造影的患者278例,分为女性组61例及男性组217例。对两组的性别、年龄、糖尿病史、高血压病史、冠心病史、高胆固醇血症、入院前是否有典型心绞痛发作、心电图ST段改变、冠脉狭窄程度,以及住院期间是否出现心力衰竭等临床资料进行比较。结果女性组年龄高于男性组,有糖尿病史、明确的冠心病史、高血压病史以及有典型心绞痛发作的患者比例高于男性组,有高胆固醇血症的患者比例则低于男性组;女性组有典型心电图改变者比例低于男性组,冠脉造影无狭窄及住院期间发生心衰的比例高于男性组;男性组冠脉重度狭窄的比例高于女性组。男性患者心电图ST段改变与冠脉狭窄程度存在相关关系;女性患者糖尿病史、高胆固醇血症、吸烟、典型心绞痛发作、典型心电图改变及心力衰竭症状的出现与冠脉狭窄程度存在相关关系。结论两性心肌梗死的临床特征、冠脉狭窄程度及其危险因素不同。
Objective To analyze the clinical features, coronary stenosis severity and risk factors of male and female patients with acute myocardial infarction （AMI）. Methods Retrospective analysis was carried out in 278 patients with acute myocardial infarction, including 61 female patients and 217 male patients. The clinical data of the two groups were compared, including patient＇s gender, age, history of diabetes, hypertension, coronary heart disease, hypercholesterolemia, attack of typical angina pectoris before admission, change of the ST segment, severity of coronary stenosis and occurrence of heart failure during hospitalization stay. Results The female patients were older than the male patients; the percentages of female patients with history of diabetes mellitus, coronary artery disease, hypertension, and occurrence of heart failure during hospitalization stay were higher than those of the male patients, while the percentages of hypercholesterolemia, typical electrocardiogram changes, and severe coronary stenosis were lower in the female group. In the male group, the changes of the ST segment were related to coronary stenosis severity degree; in female group, history of diabetes mellitus, hypercholesterolemia, and the situation of smoking, typical angina pectoris, electrocardiogram ST changes and heart failure were related to typical coronary stenosis severity degree. Conclusions The clinical features, severity of coronary stenosis and other risk factors were different between male and female patients with acute myocardial infarction.
出处
《临床医学工程》
2013年第7期797-799,共3页
Clinical Medicine & Engineering
基金
广东省科技厅资助项目(2012B-31800341)
关键词
性别
冠心病
冠脉造影
冠脉病变支数
危险因素
Gender
Coronary heart disease
Coronary angiography
Number of diseased coronary vessels
Risk factors
