摘要
我国冠心病的发病率呈上升趋势,并逐渐趋于低龄化。随着冠状动脉造影技术的普及,青年冠心病的发现率逐渐提高。其中不乏有冠脉严重狭窄、多支病变、左主干病变者,对于这些冠脉严重病变的青年患者,其发病因素除了吸烟、糖尿病、高血脂等传统因素外,高纤维蛋白原血症、高同型半胱氨酸血症、高尿酸血、高C-反应蛋白(C-reactive protein, CRP)血症、抑郁症、血细胞相关参数等因素也必须得到重视,为今后严重青年冠心病的预防、诊断、治疗提供参考依据。通过发现导致青年患者冠脉严重病变的新因素,可对高危人群进行早期筛查,可早发现已产生冠脉严重病变的患者,以达到及时干预,大大改善患者预后的目的。
The incidence of coronary heart disease (CHD) is increasing in China and the patients are becoming younger. With the popularization of coronaryangiography technology, the detection rate of coronary heart disease in young people is gradually increasing. Many of these young patients with CHD have severe coronary artery stenosis, multivessel disease, left main coronary artery disease. For these young patients with severe coronary artery disease, in addition to traditional factors such as smoking, diabetes, hyperlipidemia and so on, factors such as hyperfibrinogen, hyperhomocysteinemia, hyperuricemia, hypercrp, depression, blood cell related parameters and so on should also be considered. It will provide a reference for the prevention, diagnosis and treatment of youth serious coronary heart disease in the future clinical work. By discovering new factors that lead to serious coronary lesions in young patients, high-risk groups can be screened early, and patients with serious coronary lesions can be found early, so as to achieve timely intervention and greatly improve the prognosis of patients.
出处
《临床医学进展》
2021年第8期3504-3510,共7页
Advances in Clinical Medicine
