中青年急性心肌梗死临床特点分析

The Clinical Characteristic Analysis on Acute Myocardial Infarction of Young and Middle-aged

目的研究中青年急性心肌梗死(AMI)的危险因素和临床特点。方法回顾性分析71例中青年AMI(A组)的危险因素、临床特点、并发症、预后等,并与同期住院的123例老年AMI者(B组)进行比较。结果 A组男性明显多于女性,吸烟、酗酒比例明显高于B组,合并高血压、糖尿病比例低于B组,但合并高脂血症比例高;胸痛症状典型,多为单支冠状动脉病变,心力衰竭发生率及病死率明显低于B组。结论中青年发病以男性为主,多有明显诱因,症状典型,冠状动脉病变多累及单支血管,并发症及死亡率较低。

Objectives This article has a research on the dangerous factors and clinical characteristic of acute myocardial infarction（AMI） of young and middle-aged.Methods It has a retrospective analysis on the dangerous factors,clinical characteristic,complication,prognosis and etc of 71 cases of AMI of young and middle-age（group A）,comparing to 123 cases of AMI of the old-aged of hospitalization at the same period（group B）.Results In group A,the number of male is obviously higher than female,the proportion of smoking and alcoholism of it is evidently higher than group B,the proportion of complicated with hypertension and diabetes mellitus is higher than group B,but the proportion of complicated with hyperlipemia is high;the symptom of chest ache is typical,which mainly is single coronary artery lesion;the occurrence ratio of heart failure and mortality rate are evidently lower than group B.Conclusions The morbidity of young and middle-aged are mainly male,most of them have obvious inducement and typical symptom.Coronary artery lesion used to involve single vascular.Its complication and death ratio is low.