年轻心肌梗塞危险因素与冠状动脉病变

对年龄≤40岁的年轻急性心肌梗塞患者26例(A组)与同期同症年龄≥60岁的患者29例(B组)就危险因素、冠状动脉造影特点进行比较.冠心病危险因素:高血压和糖尿病A组较B组少.吸烟史两组间无显著差异,但A组单位时间吸烟量大于B组.血脂各项指标两组无显著差异.阳性家族史A组明显多于B组.梗塞部位A组以前壁居多,B组中位于前壁、下壁者数量相似.冠脉造影A组以单支病变——累及前降支近段占绝大多数,并有3例择期冠脉造影未见异常.B组中多支病变则占半数以上.

Myocardial infarction in young adults:Risk factors and coronary angiography Beijing Redcross Chaoyang Hospital,Capital Vnirersity of Medical Sciences Beijing, 100020

26 cases of an initial AMI who were admitted to our hospital and who were under or 40 years of age (Group A) were compared to 29 patients over 60 admitted during the same time because of the same reason (Group B) Group A had significant fewer patients with hypertention and diabetes mellitus, and more with positive family history. Smoking was the most common risk factor in both groups, but there was no statistical difference between them as well as hyperlipidemia. But cigarette consumption per day in group A was much more than that in group B. Location of infarction was most common in anterior wall in group A.In group B it was similar to inferior wall.Coronary angiography was performed in 17 patients in group A.Most of them had single - vessel disease and of the left anterior descending was most commonly involved. Three of them were found with normal coronary artries in angiography. In group B there were more than half of multiple vessel disease.