| 37例青年心肌梗塞的临床分析 |
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| 引用本文： | 张福春 郭静萱. 37例青年心肌梗塞的临床分析[J]. 中国心血管杂志, 1998, 3(5): 305-307 |
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| 作者姓名： | 张福春 郭静萱 |
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| 作者单位： | 北京医科大学第三临床医学院心内科 北京100083(张福春，郭静萱，单健，毛节明，郭丽君)，北京医科大学第三临床医学院心内科 北京100083(陈明哲) |
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| 摘 要： | 在本院住院的800例急性心肌梗塞病人中发现年龄≤40岁的青年心肌梗塞患者37例,男性36例(97.3%),危险因素中吸烟、家族史阳性和高血脂分列前三位.冠脉造影,27例为动脉粥样硬化.1例肌桥,3例正常.冠脉病变以单支病变最多见,病变部位以左前降支最易受累,左室射的分数(LVEF)值仅2例低于40%.青年心肌梗塞发病仍以动脉粥样硬化为主要原因,预后较好.
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| 关 键 词： | 青年心肌梗塞 危险因素 冠状动脉造影 |
Clinical analysis of 37 young cases with acute myocardial infarction |
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| Zhang Fuchun,Guo Jing Xuan,Shan Jian,et al.. Clinical analysis of 37 young cases with acute myocardial infarction[J]. Chinese Journal of Cardiovascular Medicine, 1998, 3(5): 305-307 |
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| Authors: | Zhang Fuchun Guo Jing Xuan Shan Jian et al. |
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| Affiliation: | Zhang Fuchun,Guo Jing Xuan,Shan Jian,et al. Cardiology Department Third Affiliated Hospital of Beijing Medical University,Beijing 100083 |
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| Abstract: | There were 37 patients less than 40 years old among all 800 in - hospital patients with acute myocardial infarction (AMI) (4.6%) . 36 of them were male(97.3%) .Smoking, positive family history, hyperlipidemia were the main risk factors. 31 patients had underwent coronary angiography(CAG) .Their result of CAG showed that 27 patients had atherosclerosis , one case for myocardial bridging and 3 cases have normal coronary artery. In addition, the single vessel disease is predominant and the lesion located mostly in LAD. There are two patients with LVEF less than 40% . Coronary atherosclerosis is still the most common reason in young myocardial infarction, AMI happened in young people has a better prognosis. |
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| Keywords: | young myocardial infarction risk factors coronary angiography |
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