摘要
目的:探讨小于30岁青年急性心肌梗死(AMI)患者的临床及冠状动脉造影特点。方法:选择我院2004年至2012年收治的小于30岁AMI患者41例为青年组,随机选择同期大于50岁AMI患者360例为中老年组,比较两组患者的临床特征及冠脉造影结果。结果:与中老年组比较,青年组男性(68.1%比97.6%),吸烟(50.6%比80.5%)、高胆固醇血症(59.2%比65.9%)比例及人体质量指数[(22.3±6.6)kg/m2比(26.3±9.6)kg/m2]明显升高;高血压(63.1%比24.4%)、糖尿病(30.6%比4.9%)比例明显较低(P<0.05或<0.01);发病诱因中,青年组紧张、焦虑等心理因素(29.3%比3.6%)和熬夜(39.0%比2.8%)、大量饮酒(14.6%比4.7%)比例显著高于中老年组,而中老年组情绪激动(8.3%比0),比例显著高于青年组(P<0.05或<0.01)。青年组冠脉造影结果以单支病变为主(56.1%),且多为A(53.7%)、B1型(29.3%)病变,中老年组以多支病变为主(48.1%),且多为B2(29.7%)、C型(33.9%)病变(P<0.05或<0.01)。结论:吸烟、肥胖、高脂血症是小于30岁青年急性心肌梗死患者最重要危险因素;熬夜、饮酒和心理压力大等为青年AMI患者主要诱因;冠脉病变以单支病变、A、B1型简单病变为主。
Objective：To explore feature of clinic and coronary angiography （CAG）of acute myocardial infarction （AMI）for young adults less than 30 years old.Methods：A total of 41 AMI patients,who were under 30 years old and hospitalzed in our hospital from 2004 to 2012,were enrolled as young group.Another 360 AMI patients 〉50 years were randomly selected as middle-aged group during the same time.Clinical features and CAG results were compared between two groups.Results：Compared with middle-aged group,there were significant rise in percentages of male （68.1% vs.97.6%）,smokers （50.6% vs.80.5%）and hypercholesterolemia （59.2% vs.65.9%）and body mass index [（22.3±6.6）kg/m^2 vs.（26.3±9.6）kg/m^2 ],and significant reduction in percentages of hyper-tension （63.1% vs.24.4%）and diabetes mellitus （30.6% vs.4.9%）in young group,P〈0.05 or 〈0.01;for exciting cause,percentages of psychological factors such as tension and anxiety （29.3% vs.3.6%）,staying up late （39.0% vs.2.8%）and heavy drinking （14.6% vs.4.7%）in young group were significantly higher than those of middle-aged group,while percentages of agitation （8.3% vs.0）in middle-aged group was significantly higher than that of young group （P〈0.05 or 〈0.01）.For CAG results,young group was mainly single vessel coronary disease＆amp;nbsp;（56.1%）,which were mainly type A （53.7%）and type B1 （29.3%）lesions,while middle-aged group was mainly multi-vessel coronary disease （48.1%）,which were mainly type B2 （29.7%）and type C （33.9%）lesions,and there were significant difference between two groups （P〈0.05 or 〈0.01）.Conclusion：Smoking,obesity and hy-perlipidemia are the most important risk factors for acute myocardial infarction;the major exciting causes are staying up late,alcohol drinking and high mental stress etc.in young AMI patients;their coronary lesions are mainly single vessel coronary disease,and of type A and type B1 .
出处
《心血管康复医学杂志》
CAS
2014年第3期265-268,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心肌梗塞
危险因素
冠状血管造影术
Myocardial infarction
Risk factors
Coronary angiography
