年轻心肌梗死患者的临床特点和预后分析  

Clinical Feature and Prognosis of Myocardial Infarction in Young Adults

作　　者：龙娟[1] 衣为民[1] 王丽丽[1] 彭长农[1] 李忠红[1] 

机构地区：[1]广东省深圳市孙逸仙心血管医院内科,518001

出　　处：《实用全科医学》2005年第5期405-406,共2页Applied Journal Of General Practice

摘　　要：目的分析年轻的心肌梗死患者(≤40岁)的临床特点及其预后。方法我院因心肌梗死而行冠状动脉造影且年龄≤40岁的患者有41例,入选同期因心肌梗死而行冠脉造影且年龄大于50岁的患者根据性别配对41例为对照组,比较两组间的临床特点、危险因素,并进行定期随诊观察临床预后。结果年轻患者的吸烟率、高血脂发生率比老年组高,而老年组中高血压、糖尿病更多见。冠状动脉造影年轻患者以冠状动脉正常、大致正常更多见,老年患者多支血管病变更多见,年轻患者随诊中心脏事件和心脏死亡率明显低于老年患者。结论年轻心肌梗死患者预后较好。Objective To analysis the clinical feature and prognostic factors of young adults （≤40 years old） who suffered from myocardial infarction. Methods Forty- one patients （younger than forty） with myocardial infarction received coronary angiography. The control group was another forty- one patients （older than fifty） with myocardial infarction received coronary angiography at the same period. The clinical features, risk factors were compared between the two groups, The clinical outcome was observed through long- term follow- up. Results The younger patients had higher incidence of smoking and hypercholesterolemia than the older patients. Hypertension and diabetes mellitus were detected more frequently in the older patients. Coronary angiography revealed more normal or nearly- normal coronary arteries in the younger patients while the older patients had more number of multi - vessel diseases. The younger patients had lower incidence of cardiac events and mortality than the older patients during long- term follow- up. Conclusions The young adults suffered from myocardial infarction have better prognosis than the old ones.

关 键 词：心肌梗死 冠状动脉造影 年轻患者 心肌梗死患者 预后分析 临床特点 冠状动脉正常 多支血管病变 随诊观察 老年患者 

分 类 号：R542.22[医药卫生—心血管疾病]