青年急性心肌梗死85例临床分析

目的　报告对 85例青年急性心肌梗死 (AMI)患者进行分析。方法　对 1994年 3月至 2 0 0 0年 12月近 7年 85例 40岁以下的青年AMI临床特点、病因、危险因素和诱发因素进行分析。结果　本组仅 1例有冠心病史 (占 1 1% ) ,余者均为冠心病的主要和次要危险因素 ,冠状动脉粥样硬化是青年AMI的主要病因 ,而吸烟和高血脂是主要危险因素 ,青年AMI男性多于女性 ,发病诱因多样 ,并发症少 ,死亡率低 ,预后好。结论　青年AMI危险因素以高血脂为多 ,故培养青年良好生活习惯 ,戒烟 ,治疗和控制高血脂对预防青年AMI有重要意义

Clinical analysis in 85 youth patients of acute myocardial infarction

Objective To analyze 85 youth patients of acute myocardial infarction (AMI).Methods Eighty-five youth AMI patients (age<40 years) in seven years (from March 1994 to November 2000) were analyzed in clinical characteristics,etiological factors,risk factors and inducing factors.Results In this group there was only one patient (1.1%) with coronary heart disease (CHD) history,others were all with major or minor risk factors of CHD.Coronary atherosclerosis was the main etiological factor of youth AMI.Smoking and hyperlipidemia were the main risk factors.Morbidity rate of youth AMI in males was higher than in females.Youth AMI patients were with diversification of inducing factors,less complications,low mortality rate and favorable prognosis.Conclusion Hyperlipidemia is the main risk factor in youth AMI.Good habits and life style,giving up smoking,controlling and treating hyperlipidemia are of great significance in preventing the youth from AMI.