年轻患者急性心肌梗死的分类及临床特点的进展

Clinical classification and features of acute myocardial infarction in young patients

急性心肌梗死(AMI)是导致年轻患者发生临床心血管不良事件的主要原因,其引起心血管不良事件的风险具有独特的临床特征。研究表明,斑块破裂是年轻患者发生AMI最常见的病因。与此同时,与冠状动脉栓塞、冠状动脉剥离、药物、社会心理、冠状动脉痉挛、遗传等因素相关的AMI在年轻患者中也愈来愈常见。年轻患者AMI的临床特点与老年患者存在明显不同。因此,本文拟对年轻患者AMI的临床分类、临床特点及研究新进展进行综述,以期诊断手段和治疗方案提供有效的参考价值。

Acute myocardial infarction(AMI)is the main cause of the clinical cardiovascular adverse events in the young patients,and its risk of cardiovascular adverse events has the unique clinical features.It has been found that the plaque rupture is the most common cause of AMI in the young patients.At the same time,AMI related to coronary artery embolism,coronary artery dissection,drugs,social psychology、coronary artery spasm、genetic factors and other factors is more and more common in the young patients.The clinical features of AMI in the young patients are significantly different from those in the elderly patients.Therefore,this article reviews the clinical classification、clinical features and new research progress of the young patients with AMI,in order to provide some effective reference value for the diagnosis and treatment of AMI.