青壮年急性心肌梗死患者临床分析

目的：探讨青壮年急性心肌梗死患者的危险因素及临床特征。方法：比较青壮年组与老年组急性心肌梗死患者的危险因素及临床特征。结果：吸烟、糖尿病、高脂血症、动脉硬化家族史、代谢综合征病史在青壮年组与老年组所占比例分别为78．6％vs55．0％、22.3％vs39．1％、63．1％vs 38．7％、12．6％vs4．6％、19．4％vs8．0％,P〈0．05;心绞痛病史、典型临床症状在两组中所占比例为49．6％vs61．8％、78．6％vs61．8％,P〈0．05;两组左室射血分数分别为（63．1±13．6）％和（53．4±14．5）％,P〈0．05。结论：青壮年急性心肌梗死患者与吸烟、高脂血症、动脉硬化家族史、代谢综合征病史,呈正相关．行冠状动脉搭桥术比率低。

Analysis of clinical characteristics in the young and middle-aged male patients with acute myocardial infarction

Objective:This article examined the clinical characters and risk factors in young adults with acute myocardial infarction.Methods:Compare clinical characteristics and risk factors in the young patients and in the old patients.Results: The proportion of smoking,diabetes,hyperlipidemia,family history of arteriosclerosis,metabolic syndrome,hypertension in two groups were 78.6% vs 55.0%,22.3% vs 39.1%,63.1% vs 38.7%,12.6% vs 4.6%,19.4% vs 8.0%,P<0.05.Left ventricular e-jection fraction of younger and older group is ( 63.1±13.6)% and (53.4±14.5)%,respectively.Conclusion :The risk factors in young adults group is relation to the smoking,hyperlipidemia,family history of arteriosclerosis, metabolic syndrome.