青年急性心肌梗死的临床特点——附107例分析与研究

目的观察青年急性心肌梗死的临床特点,并探讨其病因。方法对107例45岁以下急性心肌梗死患者及92例中老年患者进行对比,从冠状动脉造影,心功能情况,危险因素三方面进行回顾性综合分析。结果青年急性心肌梗死以男性为主,具有临床表现典型,血管病变简单(冠状动脉造影86例,其中冠状动脉痉挛4例,其余均有冠脉血管病变),死亡率低,预后相对良好等特点。本组有94例(87.9%)有明确冠心病危险因素。结论吸烟、饮酒是青年人急性心肌梗死的最主要诱因,冠脉血管以单支病变为主,发生心功能不全较少,及时予以再灌注治疗对降低死亡率和改善预后十分重要。

Clinical characteristics of acute myocardial infarction in young patients——analysis of 107 cases

Objective To observe clinical characteristics of acute myocardial infarction(AMI) in young patients and to explore the etiological factors. Methods Clinical characteristics in 107 young AMI patients(23～44 years old) were observed and compared with a group of 92 aging AMI patients(45～74 years old).Results Young AMI patients were often male;had the typical clinical manifestations with simple coronary lesion;low mortality and good prognosis.87.9% of young AMI patients had definite risk factors.Conclusions Smoking and drinking are two main causes of AMI in young patients.The removal of risk factors and timely reperfusion therapy are of importance to reduce morbidity and mortality and to improve prognosis.