青年女性急性心肌梗死临床及冠脉造影的分析  

Clinical and coronary arteriography analysis of acute myocardial infarction in young women

作　　者：李丹[1] 林海龙[1] 顾宇[1] 颜培实[1] 

机构地区：[1]大连市中心医院心内一科,116033

出　　处：《中国实用医药》2015年第25期26-28,共3页China Practical Medicine

摘　　要：目的分析〈46岁青年女性急性心肌梗死的临床及冠脉造影特点。方法 166例急性心肌梗死的女性患者,按年龄分为青年女性组50例（〈46岁）和老年女性组116例（47～80岁）。比较两组的临床特征及冠脉造影特点。结果青年女性组中高血压、糖尿病、吸烟、低密度脂蛋白胆固醇（LDL-C）偏高比例高于老年女性组（P〈0.05）,两组A型血型家族史、冠心病家族史比较差异无统计学意义（P〉0.05）;冠脉造影结果青年女性组多累及左前降支,其次为右冠状动脉,老年女性组多累及右冠状动脉;青年女性组单支病变多见,老年女性组多支病变多见。结论高血压、糖尿病、高脂血症、吸烟等是青年女性急性心肌梗死的重要危险因素,单支病变为主;改变生活方式、缓解压力、控制LDL-C达标是预防青年女性急性心肌梗死的重要措施。Objective To analyze clinical and coronary arteriography characteristics of acute myocardial infarction in young women 46 years old. Methods A total of 166 women patients with acute myocardial infarction were divided by their ages into young women group with 50 cases（46 years old） and old women group with 116 cases（47～80 years old）. Clinical and coronary arteriography characteristics were compared in the two groups. Results The young women group had higher proportion of hypertension, diabetes mellitus, smoking, and high low-density lipoprotein cholesterol（LDL-C） than the old women group（P〈0.05）. There were no statistically significant differences of family history of A blood type, and coronary heart disease between the two groups（P〉0.05）. Coronary arteriography results showed that the young women group had involved left anterior descending branch and right coronary artery lesion, and the old women group had common involved right coronary artery. Single vessel lesion was common in the young women group, while multiple vessels lesion was common in the old women group. Conclusion Important risk factors for acute myocardial infarction in young women include hypertension, diabetes mellitus, hyperlipidaemia, and smoking, with common lesion in single vessel. Modifying life style, relieving stress, and controlling qualified LDL-C are essential measures for prevention of acute myocardial infarction in young women.

关 键 词：青年女性 急性心肌梗死 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]