年轻急性心肌梗塞患者临床及冠脉造影特征

【摘要】目的：探讨年轻急性心肌梗塞(AMI)患者临床及冠脉病变特征。方法：回顾分析212例不同年龄AMI患者临床特征及冠状动脉造影结果。结果：40岁以下年轻AMI患者达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，冠脉以单支病变，A型病变为主。40岁以上AMI患者男性仍高于女性，发病与血脂异常、高血压、糖尿病、吸烟有关，约30％症状不典型，冠脉病变以多支、复杂病变为主。结论：年轻AMI患者临床特点及冠脉病变与老年患者不同，应采取不同的防治方式分别对待。

The Clinical Manifestation and the Characteristics of Coronary Arteriongraphy in Young Patients with Acute Myocardial Infarction

Objective:To observe the clinical manifestation and the characteristics of coronary arteriongraphy in young patients with acute myocardial infarction(AMI).Methods:The clinical data of coronary angiography from 212 patients with AMI were analyzed retrospectively.Results:14.56% patients with AMI occured in youngmen aged under 40 years. In young group, the risk factors included smoking,hyperlipidemia and obesity,and these patients showed typical symptoms, less complications and mortality, more simple and discrete coronary artery lesion.While in elderly group, there were more factors related to AMI, such as hypertension, diabetes,smoking and hyperlipidemia.The complex and diffuse coronary artery lesions were seen more often.Conclusion:Young patient with AMI had significantly different clinical and coronary artery lesion characteristics. Different method should be used to deal with patients with different ages.