40岁以下急性心肌梗死患者临床及冠脉造影特点  

The clinical features and coronary angiography findings of acute myocardial infarction in patients ≤40 years old

作　　者：加娜提.安尼瓦尔 高红艳[1] 张向阳[2] 

机构地区：[1]新疆维吾尔自治区人民医院急救中心内科,新疆乌鲁木齐830001 [2]新疆医科大学第一附属医院心内科,新疆乌鲁木齐830054

出　　处：《临床和实验医学杂志》2010年第17期1288-1289,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的分析青年人急性心肌梗死(AMI)的临床及冠状动脉造影特点。方法年龄≤40岁的AMI患者40例作为A组,年龄>40岁的AMI患者40例作为B组,比较两组患者临床特点及冠状动脉造影结果。结果 A组中大量吸烟、阳性家族史的比率明显高于B组,A组中多无心绞痛、高血压及糖尿病病史。A组中冠状动脉造影正常比率明显高于B组,单支病变的比率明显高于B组。B组冠状动脉造影显示多支病变的比率明显高于A组。结论青年人AMI以大量吸烟、阳性家族史为重要危险因素,多为单支病变,预后较佳。Objective To analyze the clinical features and coronary angiography findings of young patients（≤40 years old） with acute myocardial infarction（AMI）.Methods Forty patients ≤40 years old were classified as group A,40 patients〉40 years old as group B,clinical features and coronary angiography findings of group A were compared with group B.Results A comparison between the two groups showed that smoking and positive family history were more frequent in group A,but did not show history of cardiac angina,hypertension and diabetes mellitus.The percentage of normal coronary angiography was higher and more patients with single-branch lesion in group A.However,multi-branch lesion was mostly seen in group B.Conclusion Heavy smoking,positive family history are the most important risk factors in young patients with AMI.Most of them had single-vessel disease.The prognosis is well in young patients.

关 键 词：青年人 急性心肌梗死 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]