30例中青年急性心肌梗死临床特点分析

Clinical Feature of 30 Cases With Acute Myocardial Infarction in Young and Middle Age Patients

目的分析中青年(<40岁)急性心肌梗死(AMI)的临床特点,探讨如何预防中青年AMI的过早发生。方法对30例年龄<40岁的AMI组和52例年龄>70岁AMI组患者进行对比观察,从性别、危险因素、临床特点、并发症、预后等方面进行比较。结果中青年AMI男性多见,为29例(96.67%),其中吸烟14例(46.67%)及有高血压或冠心病家族史者7例(23.33%),与老年组AMI类似。发病前有明确的诱因22例(73.33%),高脂血症20例(66.67%),发病时有典型症状胸痛症状者29例(96.67%),明显高于老年组AMI。有高血压病史者3例(10%),有心衰者1例(3.33%),明显低于老年组AMI。结论中青年AMI男性多见,高脂血症、酗酒、劳累为危险诱发因素,症状典型,并发症少,预后好。重视青年患者的调脂治疗可预防中青年AMI的过早发生。

Objective To study the feature of acute myocardial infarction in young and middle aged patients (under 40 years old) for prevent the earlier occurrence of AMI in young people. Methods The sex, risk factors, clinical characters, complications and prognosis of 30 young patients (<40 years) were compared with 56 elder patients (over 70 years old). Results Most patients with acute myocardial infarction of young and middle age are men (96.67%). Compared with the old group, the rate of smoking and the family history of heart disease were similar in young group. In young group, 22 patients (73.33%) had inducement, 20 patients (66.67%) had hyperlipidemia and 29 patients (96.67%) had intense chest pains. They were higher than in old group. Whereas the ratio of hypertension, heart failure and serious complications were obviously lower than in old group. Conclusions The young and middle age patients mostly are men. Most of them had inducement, such as hyperlipeia, drinking and tired. They had typical symptom, less complication and good prognosis. Modifing lipid food of young and middle age male patients would prevent the earlier occurrence of acute myocardial infarction.[