摘要
目的探讨青年急性心肌梗死的发病特点。方法 210例急性心肌梗死患者,依据年龄分为青年组(年龄≤44岁)62例及对照组(年龄>44岁)148例,比较2组一般资料、冠状动脉造影结果、住院并发症发生情况等。结果青年组男性占98.4%,超体质量者占64.5%,吸烟者占69.3%,单身者占35.5%,有不良生活习惯者占72.6%,发病前有明显诱因者占16.1%,合并高脂血症者占66.1%,急性ST段抬高心肌梗死者占88.7%,KillipⅠ级者占90.3%;对照组分别为72.3%、31.8%、39.9%、18.2%、55.4%、6.8%、33.8%、68.2%、62.2%,2组比较差异有统计学意义(P<0.05);青年组单支血管病变者占74.2%,高于对照组(45.9%)(P<0.01),充血性心力衰竭(6.5%)、大出血发生率(0)及病死率(0)均低于对照组(27.7%,6.8%,6.1%)(P<0.05)。结论青年急性心肌梗死患者单支血管病变多见,但住院并发症较少,吸烟、不良生活方式等可控性因素与其发生有关。
Objective To investigate the clinical characteristics of acute myocardial infarction(AMI)in the young patients.Methods A total of 210 AMI patients were divided into young group(n=62)aged 44 years or younger and control group(n=148)aged older than 44 years.The clinical data,coronary angiography results and complications were compared between two groups.Results Young group had higher proportions of male(98.4%),over-weight(64.5%),smoking(69.3%),unmarried(35.5%),bad habits of living(72.6%),obvious precipitating factors(16.1%),hyperlipidemia(66.1%),acute ST-segment elevation myocardial infarction(STEMI)(88.7%)and Killip class Ⅰ at admission(90.3%)than control group(72.3%,31.8%,39.9%,18.2%,55.4%,6.8%,33.8%,68.2%,62.2%),showing significant differences between two groups(P〈0.05).The proportion of single-vessel lesions was higher in young group(74.2%)than that in control group(45.9%)(P〈0.01),and the incidences of congestive heart failure(6.5%),massive haemorrhage(0)and fatality(0)were lower in young group than those in control group(27.7%,6.8%,6.1%)(P〈0.01).Conclusion The single-vessel lesion is commonly found in young AMI patients,but the complications are less.Smoking,bad habits of living and other controllable factors are associated with the development of AMI in young patients.
出处
《中华实用诊断与治疗杂志》
2015年第1期81-83,共3页
Journal of Chinese Practical Diagnosis and Therapy
基金
辽宁省科技厅科研基金资助项目(2012225018)
关键词
急性心肌梗死
青年
Acute myocardial infarction
young