青年急性冠状动脉综合征患者冠状动脉痉挛临床特点分析  

Clinical characteristics of youth patients with acute coronary syndrome caused by coronary artery spasm

作　　者：宋昆鹏[1] 石海莉[1] 郭素萍[1] 黄捷[1] 冯艳[1] 秦立[1] 

机构地区：[1]郑州大学附属郑州中心医院,450007

出　　处：《中国实用医刊》2013年第10期41-42,共2页Chinese Journal of Practical Medicine

摘　　要：目的分析青年急性冠状动脉综合征患者由冠状动脉痉挛引起的临床特点。方法选择郑州大学附属郑州中心医院近3年来冠状动脉造影确诊的冠状动脉痉挛患者86例（年龄〈45岁的青年患者28例），回顾性分析其高血压病病史、糖尿病病史、血脂情况、冠状动脉造影结果和诱发冠状动脉痉挛的原因。结果青年组急性冠状动脉综合征患者的冠状动脉痉挛在吸烟、高甘油三酯、单支冠状动脉病变基础上诱发的情况明显多于其他冠状动脉痉挛患者。结论对于青年冠状动脉痉挛患者多由于冠状动脉斑块不稳定基础上吸烟、高廿油三酯等危险因素所诱发，严重者可出现急性心肌梗死的典型临床表现。Objective To analyze the clinical characteristics ot youth patients with acute coro- nary syndrome caused by coronary spasm. Methods Eighty-six patients （28 patients 〈 45 years old） with coronary artery spasm through coronary angiography in Zhengzhou central hospital affiliated to zheng- zhou university in the past three years were selected. The history of hypertension, history of diabetes, blood lipids, the results of coronary angiography and the causes of coronary spasm were retrospectively analyzed. Results The youth group of patients with coronary artery spasm may be induced by smoking, high triglycerides, spasm based on single-vessel coronary artery disease significantly more than other pa- tients with coronary a,＇tery spasm. Conclusions For young patients with coronary artery spasm, mostly due to coronary plaque instability based on smoking, high triglycerides and other risk factors, and may present the typical clinical manifestations of acute myocardial infarction in serious case.

关 键 词：青年 急性冠状动脉综合征 冠状动脉痉挛 

分 类 号：R541.4[医药卫生—心血管疾病]