40岁及以下女性急性心肌梗死临床和冠状动脉造影分析

目的 通过对年轻女性急性心肌梗死(AMI)患者的临床特点、病变特征和治疗效果进行分析,提高对本病的识别和认识.方法 收集首都医科大学附属北京安贞医院近6年13例≤40岁女性AMI患者的临床和冠状动脉(冠脉)造影资料,分析其危险因素、临床特点、病变特征和预后.结果 年轻女性AMI患者中存在较多危险因素,以血脂异常和高血压为著;首发症状多为心绞痛,但就诊率较低,心肌梗死就诊明显延迟;患者冠脉病变往往累及前降支或存在多支病变,经皮冠脉成形术是主要的有效治疗手段,患者预后较好.结论 尽管年轻女性AMI发病率低,但合并危险因素多且病变较重,值得临床医生给予足够重视.

An analysis of acute myocardial infarction in women aged 40 or less

Objective To analyze the clinical characteristics and angiographic features of myocardial infarction in women aged 40 or less.Methods The clinical information and angiographic images of 13 young female patients with myocardial infarction treated in Beijing Anzhen Hospital during the past 6 years were collected and analyzed.Results The traditional risk factors especially hypertension and dyslipidaemia were more frequent in young female patients with myocardial infarction.Women were more likely to experience angina as their first symptom.Most of the patients did not seek medical service in early time.An infarct related artery and an obviously complex coronary lesion were found in all(100%)the cases (left anterior descending 50%).Two vessel diseases were prevalent in these patients.Conclusions Young female patients with myocardial infarction are characterized by a higher rate of modifiable risk factors.They often have severe coronary lesion and multivessel disease.