青年急性冠脉综合征患者的临床与冠状动脉病变特征分析

目的探讨青年急性冠脉综合征（ACS）患者的临床及冠状动脉病变特征。方法回顾分析422例不同年龄ACS患者临床特征及冠状动脉造影结果。结果45岁以下青年ACS患者达18.25%,均为男性;发病与吸烟、血脂异常、肥胖有关;临床以发病急、症状典型、住院心功能好、病死率低、冠状动脉以单支病变为主为特征。45岁以上ACS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,冠状动脉病变以多支、复杂病变为主。结论青年ACS患者临床特点及冠状动脉病变与中老年病人不同,应采取不同的防治方式分别对待。

Feature of clinic and coronary angiography in the young patients with acute coronary syndrome

Objective To observe the feature of clinic and coronary angiography in the young patients with acute coronary syndrome（ACS）. Methods The clinical data of coronary angiography in 422 patients with ACS who were divided into two groups （young group and elderly group） were analyzed retrospectively. Results 18.25 % of patients with ACS were males aged 45 years old or less. In young group, the risk factors were related with smoking, hyperlipidemia and obese. Those patients have typical symptoms, less hospitalization mortality, more simple coronary artery lesion. While in elderly group, males were more than female, and there were more factors related with ACS, such as hypertension, diabetes, smoking and hyperlipidemia. The complex and diffusing coronary artery lesion were seen more often. Conclusion The young patients with ACS have significantly different feature of clinic and coronary artery lesion which are different from those of the aged. Different treatments should be used to deal with patients with ACS in the different age.