冠状动脉造影正常的青年急性心肌梗死临床研究分析

Clinical Analysis of Normal Coronary Arteriography with Younger Acute Myocardial Infarction

目的:进一步探讨冠状动脉造影正常的青年急性心肌梗死临床特点,并为临床治疗提供指导。方法:收集了2011年3月—2013年3月50例AMI患者的临床资料进行详细研究,结合患者的冠状动脉造影情况,将上述患者分为2组,详细比较2组患者的基本体征、吸烟饮酒情况、基础疾病、家族史等因素。结果:冠状动脉造影正常青年发生心肌梗死的比率约为24.0%。研究组患者的家族史、高血压、高血脂、糖尿病、心绞痛等发病率与对照组相比,P<0.05,具有差异统计学意义。而2组患者吸烟人数相比,无显著差异性。结论:冠状动脉造影正常的青年急性心肌梗死发病可能与冠脉痉挛有很大关系,科学戒烟以及情绪调整是预防心肌梗死的有效措施。

Objective： To further explore the youth of a normal coronary angiography clinical characteristics of acute myocardial infarction, and provide guidance for clinical treatment. Methods ： During March 2011-March 2013, the clinical data of 50 patients with AMI were researched in detail. Combining the condition of patients with coronary angiography, these patients were divided into two groups, making a detailed comparison of two groups basic signs, smoking, drinking, family history of disease, and other factors. Results ： The coronary angiography normal incidence of myocardial infarction was about 24.0%. The patient＇s family history, incidence of a disease such as hypertension, high cholesterol, diabetes, angina compared with those the control group had statistical significance difference, P〈0.05. And two groups smokers comparison had no significant difference. Conclusion ： Coronary angiography normal young onset of acute myocardial infarction may have great relationship with coronary spasm. Quiting smoking properly and emotional adjustment are effective measures to prevent myocardial infarction.