摘要
目的 探讨年轻急性心肌梗死（AMI）患者临床特征和冠脉造影特点.方法 回顾分析200例年龄＜40岁的AMI患者临床特征及冠状动脉造影结果.结果 40岁以下年轻AMI患者以男性为主,发病与吸烟、血脂异常、肥胖有关,发病急、症状典型、并发症少、死亡率低,冠脉以单支病变、A型病变为主.200例冠心病患者中,单支病变120例,双支病变50例,多支病变30例.结论 大量吸烟、阳性家族史是年轻人患急性心肌梗死的主要危险因素.冠脉痉挛可能在年轻人急性心肌梗死发病机制中起重要作用.
Objective To observe the clinical manifestation and the characteristics of coronary arteriography in young patients with acute myocardial infarction（AMI）.Methods The clinical data of coronary angiography from 200 patients with AMI were analyzed retrospectively.Results Patients with AMI mostly occurred in young men aged under 40 years.In young group,the risk factors included smoking,hyperlipidemia and obesity,and these patients showed typical symptoms,less complications and mortality,more simple and discrete coronary artery lesion.Conclusion Young patient with AMI had significantly different clinical and coronary artery lesion characteristics.Different method should be used to deal with patients with different ages.Heavy smoking,positive family history are the chief risk factors for young AMI patients.Coronary spasm may play an important role.
出处
《中国心血管病研究》
CAS
2014年第12期1079-1081,共3页
Chinese Journal of Cardiovascular Research
关键词
心肌梗死
青年期
冠状动脉疾病
冠状血管造影术
Myocardial infarction
Adolescence
Coronary diseases
Coronary angiography
