青年急性冠脉综合征冠脉造特点及随访

目的:探讨青年急性冠状动脉综合征(ACS)冠状动脉(冠状)造影特点及其与远期心脏事件的关系。方法:比较青年ACS与老年ACS患者冠脉病变程度、范围,并进行心脏事件随访。结果:78例青年ACS患者有冠脉病变74例(94.9％),单支病变46例(58.9％);171例老年ACS患者有冠脉病变166例(97.1％),单支病变41例(23.9％)。平均随访9个月,青年ACS患者发生心脏事件者10例(12.8％),其中心绞痛再入院6例(7.7％);老年ACS患者发生心脏事件者47例(27.5％),其中心绞痛再入院30例(17.5％),两组比较差异有显著性(P<0.05)。结论:ACS患者冠状动脉粥样硬化青年时期之前已经发生,ACS预后与冠脉病变程度和年龄呈正相关。

Coronary Angiographic Features in Young Patients with ACS and Theirs Follower- up

Objective: Searching for the features of the coronary angiography in young patients with acute coronary syndrome (ACS) and the corrrelations with long - term cardiac events. Methods: Comparing the young ACS patients with elder ACS patients in levels and ranges about their coronary lesions,as well as the cardiac events within the following up duration. Results: The coronary lesions and single branch lesion were respectively 74(94.9%) ,46(58.9%) and 166 (97.1%) ,41 (23.9%) in 78 young and 171 elder ACS patients. After 9 months, the cardiac events were respectively 10(12.8% ) vs 47(27.5% ), rehospitali/ation 6 (7.7%) vs 30 (17.5%) between two groups, the difference above have significance (all P <0.05). Conclusion: Atherosclerosis in ACS patients take place before the younth, and the prognosis is correlated with coronary lesion levels and age.