中青年急性心肌梗死发病特点分析

目的对比研究中青年和老年急性心肌梗死患者发病的不同临床特点,为中青年急性心肌梗死患者的预防和成功救治提供依据。方法回顾性分析71例中青年急性心肌梗死患者发病的危险因素、诱发因素、临床表现、心电图和冠脉造影结果等,并与同期住院的120例老年急性心肌梗死患者进行对比分析。结果中青年急性心肌梗死患者中,男性明显多于女性,患者发病前多数有明显诱因,大量吸烟、暴饮暴食和情绪波动是中青年组突出的诱因。梗死部位以前壁最多见,病变多累及单支血管,前降支最多见。中青年组患者心衰等并发症少、死亡率低。结论中青年组心肌梗死患者的发病特点和老年不同。健康的生活方式和合理的情绪宣泄有利于心肌梗死的早期预防,急诊PCI对于中青年患者的救治具有重要的意义。

The clinical research on characteristics of disease of young and middle-aged patients with acute myocardial infarction

Objective To compare different clinical features of the young and middle-aged and elderly patients with acute myocardial infarction(AMI) and provide the basis for the prevention and successful treatment of middle-young-aged patients with AMI.Methods The risk factors,predisposing factors,clinical manifestations,myocardial infarction and coronary angiography results of young and middle-aged patients with AMI were retrospectively analyzed and to compared these with elderly hospitalized patients with AMI in the same period.Results Male patients in young and middle-aged cases with AMI were significantly more than women.Before the onset youngest patients have obvious incentives exerted of which were smoking,abuse alcohol and emotional highlight? Anterior wall infarction lesions and single vessel left anterior descending artery were the most common.The young group of patients had low incidence of heart failure and mortality.Conclusion The clinical characteristics of the young group with AMI are apparently different with older ones’.healthy lifestyle and rational catharsis are favorable for pristine prevention of young patients.Emergency PCI has great significance for the treatment of AMI.