青年冠心病危险因素和冠状动脉病变特点分析

目的了解青年冠心病患者心血管危险因素和冠状动脉粥样硬化的特点及两者之间的相关性。方法对比青年和中老年冠心病患者的危险因素、冠状动脉粥样硬化范围和狭窄程度,并进行青年冠心病危险因素个数与冠状动脉粥样硬化支数和狭窄程度的相关性分析。结果青年冠心病患者以男性、阳性家族史和阳性吸烟史者居多,其血尿酸水平增高,冠状动脉粥样硬化以单支病变比例为高;青年冠心病患者危险因素个数与冠状动脉粥样硬化支数、狭窄程度呈正相关。结论在青年发生冠心病的发生过程中,男性、家族史、吸烟、尿酸升高发挥着一定作用;冠脉病变以单支病变比例较高,且随着危险因素的增多,冠状动脉粥样硬化支数增多、狭窄程度加重。

Risk factors and angiographic characteristic of coronary heart disease in young people

Objective To evaluate the characteristic and risk factors and coronary atherosclerosis of coronary heart disease in young people,and to study the correlation between them.Methods Patients were divided into three groups according to age,which were young people,middle-aged and aged groups,then comparing risk factors and angiographic feature among young people and other two groups.The relationship between the angiographic features of coronary atherosclerosis and coronary risk factors was analyzed in adult.Results Young people with coronary heart disease had a higher proportion of maleness,family history,smoke,single vessel disease and higher level of serum uric acid.The amount of risk factors positively related with the extent of coronary atherosclerosis.Conclusion Maleness,family history,smoke and serum uric acid are risk factors in young people with coronary heart disease,and young people tend to have more single vessel disease.