40岁以下冠心病患者临床及冠状动脉造影特点  

Risk Factors and Angiographic Features of the Patients Below 40 Years Old with Coronary Heart Disease

作　　者：吴军[1] 张燕燕[1] WU Jun;ZHANG Yan-yan(Department of Cardiology, Panzhihua Central Hospital, Panzhihua 617000, Sichuan Province, China)

机构地区：[1]四川省攀枝花市中心医院心内科

出　　处：《罕少疾病杂志》2019年第3期16-18,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨40岁以下冠心病患者危险因素、冠状动脉造影特点。方法选取经临床或冠状动脉造影确诊为冠心病的患者182例为冠心病组,同期收治的冠状动脉造影正常的非冠心病患者148例为对照组,回顾分析两组间冠心病危险因素及冠状动脉造影特点。结果在大量吸烟、糖尿病、高胆固醇、高水平的低密度脂蛋白及低水平的高密度脂蛋白这几个因素间,冠心病组与对照组相比差异有显著性(P均<0.05)。在冠心病组,冠状动脉单支病变占55%,冠脉轻度狭窄甚至完全无异常者占30%。结论对于40岁以下的冠心病患者,吸烟是首要的危险因素,冠状动脉造影以单支病变最多见。Objective In order to research the risk factors and angiographic features of coronary heart disease in the patients below40 years old. Methods 182 patients with coronary heart disease were diagnosed by clinical and coronary angiography as coronary heart disease group, meanwhile 148 patients with normal coronary arteriesangiograms as control group,retrospective analysis the risk factors and angiographic features between the two groups. Results There is a difference between the two groups in the heavy smoking、diabetes、high cholesterol、high-level low density lipoprote and low-level high density lipoprote(P<0.05). In the coronary heart disease group, the single coronary artery disease accounted for 55%, while slight coronary stenosis or completely normal persons accounted for 30%. Conclusion Smoking is the most important risk factor and single vessel lesion is the most common vascular lesion for coronary heart disease patients under 40 years of age.

关 键 词：冠心病 危险因素 冠状动脉造影 

分 类 号：R541[医药卫生—心血管疾病] R814[医药卫生—内科学]