朝鲜族与汉族年轻人急性心肌梗死临床特点比较分析

目的]探讨朝鲜族和汉族年轻人急性心肌梗死的危险因素和冠状动脉罪犯血管的分布.方法]回顾性分析年龄在45岁以下年轻人急性心肌梗死136例患者(朝鲜族为61例,汉族为75例)的临床危险因素和冠状动脉罪犯血管的分布情况.结果]朝鲜族年轻人急性心肌梗死者吸烟、饮酒及心脑血管病家族史的比率显著高于汉族(P<0.01),其他因素间差异无统计学意义.在心肌梗死罪犯血管中左前降支是最常见的病变血管,其次是右冠状动脉;汉族病变血管支数多于朝鲜族,但相比较差异无统计学意义.结论]吸烟、饮酒和心脑血管病家族史等因素影响朝鲜族年轻人急性心肌梗死的发生.

Comparative analysis of clinical feature of acute myocardial infarction in young Korean-Chinese and Chinese nationality

OBJECTIVE To investigate the risk factors of acute myocardial infarction(AMI) and distribution of culprit vessel of coronary artery in the young Korean-Chinese and Chinese nationality.METHODS The risk factors and distribution of culprit vesels of coronary artery were retrospectively analyzed in 136 cases of AMI under 45 ages(Korean-Chinese,n=61,Chinese nationality,n=75).RESULTS The rate of smoking,drinking and family history of cardiocerebrovascular diseases(CCVD) was significantly higher in Korean-Chinese than in Chinese nationality(P<0.01),but the other risk factors had no significant difference between two nationalities.In the culprit vessel of coronary artery of myocardial infarction,the left anterior descending artery was the most common lesion artery,and next was the right coronary artery.The number of lesion artery in Chinese nationality was more than in Korean-Chinese,but there was no statistically significant difference.CONCLUSION Smoking,alcohol intake and family history of cardiocerebrovascular influence the onset of AMI in the young Korean-Chinese.