青壮年急性心肌梗死患者临床分析

Analysis of clinical characteristics in the young and middle-aged male patients with acute myocardial infarction

目的:探讨青壮年急性心肌梗死患者的危险因素及临床特征。方法:比较青壮年组与老年组急性心肌梗死患者的危险因素及临床特征。结果:吸烟、糖尿病、高脂血症、动脉硬化家族史、代谢综合征病史在青壮年组与老年组所占比例分别为78.6%vs55.0%、22.3%vs39.1%、63.1%vs38.7%、12.6%vs4.6%、19.4%vs8.0%,P<0.05;心绞痛病史、典型临床症状在两组中所占比例为49.6%vs61.8%﹑78.6%vs61.8%,P<0.05;两组左室射血分数分别为(63.1±13.6)%和(53.4±14.5)%,P<0.05。结论:青壮年急性心肌梗死患者与吸烟、高脂血症、动脉硬化家族史、代谢综合征病史,呈正相关,行冠状动脉搭桥术比率低。

Objective：This article examined the clinical characters and risk factors in young adults with acute myocardial infarction.Methods：Compare clinical characteristics and risk factors in the young patients and in the old patients.Results： The proportion of smoking,diabetes,hyperlipidemia,family history of arteriosclerosis,metabolic syndrome,hypertension in two groups were 78.6% vs 55.0%,22.3% vs 39.1%,63.1% vs 38.7%,12.6% vs 4.6%,19.4% vs 8.0%,P〈0.05.Left ventricular ejection fraction of younger and older group is （ 63.1 ± 13.6）% and （53.4±14.5）%,respectively.Conclusion：The risk factors in young adults group is relation to the smoking,hyperlipidemia,family history of arteriosclerosis, metabolic syndrome.