摘要
目的比较青年人及老年人不同性别心肌梗死患者的临床特点,探讨其预后。方法急性心肌梗死患者178例,分为青年组及老年组,比较不同性别患者的危险因素、症状特点、冠脉造影特点及预后。结果吸烟、饮酒是青年冠心病的主要危险因素,冠脉造影以单支病变或造影正常为多见。而老年人以多支病变为主,多合并高血压、糖尿病,预后差。结论针对不同年龄心肌梗死的发病特点,及时采取相应的预防及治疗措施,降低心血管事件发病率,改善预后。
Objective To compare the clinical characteristics of acute myocardial infarcation in different ages and sexes,and to explore the prognosis. Methods 178 cases of acute myocardial infarcation were divied into the young group and the elder group, the risk facters, symptom features, characrers of coronary angiography （CAG） and prognosis were observed and compared in all patients. Results In young group, smoking and drinking were the primary risk facters. Coronary angiography showed that single vessel diseases and normal were more in the young group, and multi-vessel diseases were more in the elderly group. More patients in the elderly group combined with hypertension and diabetes mellitus, so had worse prognosis. Conclusions Prevention and treatment should be focused on different ages, aimed to reduce the incidence of cardiovascular events and get better prognosis.
出处
《疾病监测与控制》
2013年第11期659-661,共3页
Journal of Diseases Monitor and Control
关键词
心肌梗死
青年
老年
临床特点
预后
myocardialinfarcation younggroup elder group
clinicalcharacteristics
prognosis
