青年人急性心肌梗死危险因素与冠状动脉造影特点分析  

THE RISK FACTORS OF ACUTE MYOCARDIAL INFARCTION IN YOUNG PEOPLE AND THE CHARACTERISTICS OF CORONARY ANGIOGRAPHY

作　　者：刘新宇[1] 牛纪华[1] 张建忠[1] 吕德[1] 田相同[1] 

机构地区：[1]临沂市中医医院,山东临沂276002

出　　处：《山东医学高等专科学校学报》2012年第3期165-167,共3页Journal of Shandong Medical College

摘　　要：目的探讨青年人急性心肌梗死(AMI)患者的危险因素与冠状动脉造影特点。方法分析临床确诊为AMI的54例青年组(<45岁)及108例老年组患者(≥60岁)的危险因素、临床特点及冠状动脉病变等,并进行比较。结果诱发因素:青年组76%(41/54),老年组22.2%(24/108),前者明显高于后者(P<0.01)。青年组中危险因素依次为吸烟史、家庭史及高血脂症;冠状动脉造影显示:青年组以单支病变为主,很少累及左主干,两组相比差异显著(P<0.01)。结论戒烟、降低血脂、规范青年人冠心病的二级预防,有助于预防青年人AMI的过早发生。Objective To explore the risk factors of acute myocardial infarction（AMI） in young people and the characteristics of coronary angiography（CAG）.Methods The comparisons were made in terms of the risk factors,clinical characteristics and coronary pathological changes in 54 young patients（less than 45 years old） and 108 senile patients（60 years old or more）of AMI were made.Results AMI was caused by some precipitating factor in 76%（41/54）of the young patients and 22.2%（24/108）of the senile patients（P0.01）.The risk factors in the young patients were history of smoking,family history and hyperlipemia successively.The coronary angiography revealed that single branch lesion was the main characteristics in young patients,with little effect on left main coronary artery（P0.01）.Conclusion Giving up smoking and reducing blood fat as precautions against coronary disease can help prevent early attack of AMI in young people.

关 键 词：急性心肌梗死 危险因素 冠状动脉造影 青年患者 

分 类 号：R541.4[医药卫生—心血管疾病]