不同年龄组急性心肌梗死患者临床分析

Clinical Characteristics of Acute Myocardial Infarction in Patients with Different Ages

目的探讨不同年龄急性心肌梗死患者的临床特点。方法回顾性分析221例急性心肌梗死患者,根据年龄不同分为4组:非老年组(<60岁),低龄老年组(60～69岁),中龄老年组(70～79岁)及高龄老年组(≥80岁),分别对危险因素、治疗方法、冠状动脉影像学特点、及其近期预后进行对比分析。结果老年急性心肌梗死患者有其独特表现:合并症比率高;常规和溶栓治疗的比率高;并发症多而危重;病死率高。结论老年女性冠心病发生概率增加;高龄老年组应用常规治疗、溶栓治疗的比率显著增高;年龄越大,临床表现越不典型,病情越危重,预后不良。

Objective To explore the clinical characteristics of age-related acute myocardial infarction （AMI） patients. Methods 221 AMI patients were divided into four group according to age：non-elderly group （ 〈 60 years old）, low-elderly group （60-69 years old ）, middle-elderly group （70-79 years old）, and high-elderly group （≥80 years old）. The clinical manifestation was analyzed in the risk factors,treatment, coronary artery imaging features, and its short-term prognosis. Results Elderly patients with acute myocardial infarction have their own unique performance, ie. the high rate of complications, conventional and high rate of thrombolytic therapy, the accompanied disease become more and mortality, and the rate was high. Conclusion The incidence of coronary heart disease was increased in elderly women. High-elderly group of conventional treatment, the ratio of thrombolytic therapy was significantly higher. Clinical manifestation becomes atypical, several with worse prognosis with the increase of age.