30岁以下年轻心肌梗死患者病例特点分析  

Special Feature Analysis of Myocardial Infarction in Patients Younger Than 30 Years of Age

作　　者：张云[1] 姜莉[1] 华潞[1] 党爱民[1] 祁哲[1] 

机构地区：[1]中国医学科学院北京协和医学院心血管病研究所阜外心血管病医院特需医疗中心,北京市100037

出　　处：《中国循环杂志》2013年第6期427-429,共3页Chinese Circulation Journal

摘　　要：目的:探讨30岁以下的年轻心肌梗死患者的危险因素及冠状动脉病变特点。方法:回顾85例接受冠状动脉造影的年龄≤30岁的年轻心肌梗死患者的临床和冠状动脉造影资料,分析患者的冠状动脉病变特点、高血压病史、糖尿病病史、冠心病家族史、吸烟史、饮酒史等。结果:15～30岁的患者中仅3例女性患者,85例患者中76.5%(65例)的患者超重,36.5%(31例)的患者肥胖。吸烟患者占75.3%(64例),饮酒者为28.2%(24例)。合并高血压、高脂血症、糖尿病比率分别为11.8%(10例)、10.6%(9例)、4.7%(4例)。梗死部位以前壁为主,占68.2%(58例)。冠脉造影正常者21.2%(18例),56.5%(48例)为单支血管病变者。35.3%(30例)的患者采取药物保守治疗,60.0%(51例)的患者接受介入治疗,4.7%(4例)患者授受了外科冠状动脉旁路移植术治疗。结论:≤30岁心肌梗死患者的冠脉病变以单支病变为主,肥胖和吸烟本组所占比例较高,提示肥胖和吸烟可能是本组导致冠脉病变的重要危险因素。Objective：To explore the risk factors and characteristics of coronary artery angiography （CAG） for myocardial infarction （MI） patients younger than 30 years old.Methods：We retrospectively studied the clinical features and CAG findings in 85 MI patients younger than 30 years,and analyzed coronary lesions with the family history of coronary heart disease （CAD）,hypertension,diabetes,and the history of smoking and drinking in all those patients.Results：There were 3/85 of female patients at 15 to 30 years of age,76.5％ were overweight and 36.5％ with obesity,75.3％ of patients were smokers and 28.2％ drinking alcohol.The Percentage of patients combining with hypertension,hyperlipidemia and diabetes were 11.8％,10.6％ and 4.7％ respectively.There were 21.2％ of patients with normal CAG,56.5％ with single vessel-disease.There 35.3％ of patients took medication,60.0％ received interventional treatment and 4.7％had surgical bypass grafting.Conclusion：The coronary lesions were more as single-vessel disease in patients younger than 30 years,obesity and smoking might be the important risk factors for CAD in such age range.

关 键 词：30岁以下 心肌梗死 危险因素 

分 类 号：R541[医药卫生—心血管疾病]