青年女性急性心肌梗死患者冠状动脉病变特点

Coronary arterial lesion′s character in young female patients with acute myocardial infarction

目的:讨论青年女性心肌梗死患者临床与冠状动脉病变特点,从而进一步讨论青年急性心肌梗死的发病机制。方法:收录本院自2005年-2009年收治的青年女性急性心肌梗死患者46例,以及2007年-2009年收治的79例青年男性急性心肌梗死患者作为对照比对分析,这些患者均经PCI术治疗。通过病例对照关联分析进行统计。结果:青年女性患者平均年龄40.9±3.5岁,青年男性患者平均年龄41.3±4.1岁,在吸烟史方面两组具有显著的统计学差异(P<0.001),就犯罪血管而言,青年女性患者与青年组患者犯罪血管分布趋势大致相同,以前降支病变为主。结论:青年女性心肌梗死患者大致符合青年心肌梗死病变特点,吸烟可能是重要的环境因素之一,此外被动吸烟的情况需要得到关注。

Objective：Analyse the coronary lesion′s character in young female patients with myocardial infarction.Methods：46 young female patients（age45yrs） with acute AMI were collected in the study,and 77 young male（age45yrs） with AMI were collected as control group.Results：The average age in female and fale group are 40.9±3.5 and 41.3±4.1.In smoking history,there was a significant difference between female and fale group.The CAG showed female group were similar to male group,and the LAD was the most in crime vessels.Conclusion：Young female patients were similar to male patients,and smoking may be one of the most important risk factors;however,tabacoo exposure is underestimated.