年轻急性心肌梗死病人临床及冠状动脉造影特征分析

目的探讨年轻急性心肌梗死(AMI)病人临床及冠状动脉病变特征.方法回顾分析212例不同年龄AMI病人临床特征及冠状动脉造影结果.结果 40岁以下年轻AMI病人达14.56%,均为男性,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,冠状动脉以单支病变、A型病变为主.40岁以上AMI病人男性仍高于女性,发病与血脂异常、高血压、糖尿病、吸烟有关,约30%症状不典型,冠状动脉病变以多支、复杂病变为主.结论年轻AMI病人临床特点及冠状动脉病变与老年病人不同,应采取不同的防治方式分别对待.

The Feature of Clinic and Coronary Angiography in the Young Men with Acute Myocardial Infarction

Objective To observe the feature of clinic and coronary angiography in the young men with acute myocardial infarction. Methods The clinical data of coronary angiography in 212 patients with AMI who were divided into two groups (young and elderly) were analyzed retrospectively.Results 14.56% patients with AMI were males aged 40 years or less.In young group, the risk factors were related with smoking, hyperlipidemia and obese.Those patients have typical symptoms, less complications and mortality, more simple and discrete coronary artery lesion. While in elderly group, males are more than female, and there are more factors related with AMI, such as hypertension, diabetes, smoking and hyperlipidemia. The complex and diffusing coronary artery lesion were seen more often.Conclusion The young men with AMI have significantly different feature of clinic and coronary artery lesion. Different methods should be used to deal with patients in the different age.