吸毒人群急性心肌梗死患者的临床和冠状动脉病变特点  被引量:3

Clinical and coronary characteristics of acute myocardialinfarction in drug abuse patients

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作  者:秦孺子[1] 李军 吴金辉[1] 

机构地区:[1]武警广东总队医院司法病区,广州510507 [2]襄阳市襄州区妇幼保健院

出  处:《临床心血管病杂志》2013年第4期275-276,共2页Journal of Clinical Cardiology

摘  要:目的:研究吸毒人群急性心肌梗死(AMI)的临床和冠状动脉病变特征。方法:回顾性分析220例经冠状动脉造影(CAG)确诊为AMI的吸毒患者的临床资料。结果:220例患者中,210例为急性ST段抬高性心肌梗死(STEMI),10例为急性非ST段抬高性心肌梗死(NSTEMI)。<5年吸毒组、5~10年吸毒组和>10年吸毒组AMI发病率分别为9.5%、22.3%和68.2%(均P<0.05)。吸毒合并1个危险因素、合并2个危险因素及合并2个以上危险因素的AMI发病率分别为14.5%、28.6%和56.8%(均P<0.05)。CAG示不同吸毒时间的AMI患者,单支病变占71.4%,其中前降支占63.6%、右冠状动脉占28.2%、回旋支占20.0%。结论:吸毒人群AMI患者多为急性STEMI,以单支多见,前降支为最常见的罪犯血管。吸毒时间越长,合并危险因素越多,AMI的发生率越高。Objective:To study the clinical and coronary characteristics of acute myocardial infarction(AMI) in drug abuse patients. Method:Data of 220 drug abuse patients diagnosed as AMI and underwent emergent coronary angiography(CAG) were analyzed retrospectively. Result:The 210 cases of them were ST-segment elevated myocardial infarction,and 10 cases were non-ST-segment elevated myocardial infarction.The rates of AMI in drug abuse time 5 years,5-10 years,and 10 years were 9.5%,22.3% and 68.2%,respectively(P0.05).The rates of AMI in drug abuse combined one risk factor,two risk factors and above two risk factors were 14.5%,28.6% and 56.8%,respectively(P0.05).CAG showed that single vessel lesion was 71.4% in all these AMI patients,including 63.6% in left anterior descending artery,28.2% in right coronary artery and 20.0% in left circumflex artery lesion. Conclusion:Most AMI in drug abuse patients are STEMI.Single culprit vessel is the most common type.The most common culprit vessel is the left anterior descending artery.With the drug abuse time prolonging and the combining risk factors adding,the rate of AMI is increased.

关 键 词:心肌梗死 吸毒人群 血管成型术 经皮冠状动脉 

分 类 号:R542.2[医药卫生—心血管疾病]

 

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