摘要
目的:探讨中青年急性心肌梗死的临床特征和冠状动脉病变特点。方法:系统回顾性分析221例急性心肌梗死病例(分为青年组、中年组和老年组)的临床特征及冠状动脉影像学特点。结果:青年组发病均是男性发病,与吸烟关系密切,冠状动脉以单支病变多见。中年组发病男性多于女性,发病与血脂异常、吸烟及高血压等危险因素有关,冠状动脉以单支和双支病变多见。老年组女性发病率明显增高,男女发病除上述危险因素外,糖尿病患者明显增多,主要心脏不良事件发生率和近期死亡率增高,冠状动脉病变以多支、复杂病变多见。结论:青年组AMI均为男性,女性发病年龄较晚,青年组AMI发病与吸烟关系密切,随年龄的增长,冠状动脉多支、复杂病变多见。
Objective To explore the clinical characteristics of acute myocardial infarction(AMI) in young and middle-aged patients Methods 221 AMI patients were divided into three group according to age :the young group ( <40 years old) , middle-aged group ( 40～59 years old) , the older group (>60 years old) ..The clinical manifestation was analyzed in the clinical feature and coronary artery imaging features. Results The incidence of youth groups are male disease, and closely related tosmoking, and to single-vessel coronary artery disease The inci-dence of middle-aged group in men is more than in women, and is related to abnormal blood lipids, smoking and high blood pressure and other risk factors, and is related to single-and double-coronary artery disease. Old age group was higher in incidence of women. Addition to the above risk factors, patients with diabetes increased significantly. The rate increased in major adverse cardiac events and recent mortality rates and coronary artery disease to more-complex lesions. Conclusion The young group of AMI are all men, female age of onset later, AMI youth group closely related to the incidence of smoking. The rate of coronary artery with more complex lesions increased with the growth of age.
出处
《临床医药实践》
2008年第16期677-679,共3页
Proceeding of Clinical Medicine
关键词
心肌梗死
危险因素
临床特点
中年
青年人
myocardial infarction
risk factors
clinical features
middle age
young people.
