青年男性急性心肌梗死88例临床分析

Clinical analysis on 88 young male patients with acute myocardial infarction

目的:探讨青年男性急性心肌梗死(AMI)患者的临床病变特点。方法:回顾性分析1578例不同年龄和不同性别AMI患者临床特征及冠状动脉造影结果。结果:≤40岁男性AMI患者88例。主诉多为胸痛,AMI梗死范围以前壁多见。与老年男性比较,危险因素以超重和吸烟为著。冠状动脉正常者较多,以单支病变为主,合并左主干病变较少。经皮冠状动脉介入(PCI)是主要的治疗手段,患者预后较好。结论:AMI发病年轻化,青年AMI患者中男性占绝大多数,病因以冠状动脉粥样硬化为主,其危险因素和冠状动脉病变特点与老年男性不同,临床医生应加以重视。

Objective：To analyze the clinical characteristics and angiographic findings of acute myocardial infarction in young men.Methods：The clinical information and angiographic data of 1578 patients with acute myocardial infarction were collected for analysis.Results：88 male patients aged 40 or less suffered from acute myocardial infarction in the study.Most of them complained of typical chest pain and had anterior infarction.Compared the risk factors with the aged male patients,both overweight and tobacco smoking were more frequent in young male patients with acute myocardial infarction.The patients with normal coronary arteries were 6.3%,and one vessel lesion was found in most patients.However,lesions combined with left main stenosis were rare.Conclusion：For the young male patients with acute myocardial infarction,coronary atherosclerosis is the main cause,their risk factors and angiographic features are different from the aged male patients.