青壮年急性心肌梗死的危险因素分析及干预

Risk Factors and Interventions of Young and Middle-aged Patients with Acute Myocardial Infarction

目的通过对青壮年人急性心肌梗死的危险因素、临床表现分析,探讨青壮年人心肌梗死发病特点,以便早期控制危险因素、预防和延缓冠心病和急性心肌梗死的发生。方法采集2005年1月～2009年12月该院收治的青壮年心肌梗死患者(年龄≤40岁)30例,对其危险因素、临床表现进行分析。结果 30例青壮年人心肌梗死占同期收住该院204例心肌梗死患者的14.7%。男性29例,女1例;年龄32～40岁。青壮年人心肌梗死危险因素依次为吸烟(80%)、血脂增高(20%)、高血压(13.3%)。15例患者(50%)以心肌梗死为首发症状,无前驱表现。结论青壮年人心肌梗死主要危险因素依次为吸烟、高血脂、高血压等,大量吸烟饮酒对青壮年AMI发病起非常重要的作用。

Objective To explore the characteristics of young and middle-aged patients with myocardical infarction, and control risk factors, prevent coronary heart disease and delay the occurrence of acutemyocardial infarction. Methods 30 cases of young and middle-aged patients （ ≤40 years old） with myocardial infarction were collected from January 2005 - December 2009. Risk factors and clinical manifestations were analyzed. Results Among 30 cases of young and middle-aged patients with myocardial infarction, 29 cases were male patients, one was female patient （ aged 32 - 40）. Risk factors were smoking （80%）, high blood lipids （20%） , hypertension （13.3%）. 15 cases were as the first myocardial infarction and there was no precursor expression. Conclusion The main risk factors of young and middle- aged patients with myocardial infarction are smoking, high blood lipids and hypertension. Heavy smoking and drinking paly an important role.