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目的 :探讨年轻急性心肌梗塞 ( AMI)患者临床及冠脉病变特征。方法 :回顾分析 2 12例不同年龄 AMI患者临床特征及冠状动脉造影结果。结果 :4 0岁以下年轻 AMI患者达 14 .5 6 % ,均为男性 ,发病与吸烟、血脂异常、肥胖有关 ,发病急、症状典型、并发症少、死亡率低 ,冠脉以单支病变 ,A型病变为主。 4 0岁以上 AMI患者男性仍高于女性 ,发病与血脂异常、高血压、糖尿病、吸烟有关 ,约 30 %症状不典型 ,冠脉病变以多支、复杂病变为主。结论 :年轻 AMI患者临床特点及冠脉病变与老年患者不同 ,应采取不同的防治方式分别对待
Objective: To investigate the clinical characteristics of coronary artery disease in young patients with acute myocardial infarction (AMI). Methods: The clinical features and coronary angiography findings of 2 12 AMI patients of different ages were retrospectively analyzed. Results: There were 14.56% of AMI patients younger than 40 years old, all of whom were male. The incidence was related to smoking, dyslipidemia, obesity, acute onset, typical symptoms, low complication, low mortality and single coronary artery disease A type of disease-based. 40 AMI patients over the age of 0 male is still higher than women, the incidence of dyslipidemia, hypertension, diabetes, smoking, about 30% of atypical symptoms, multiple coronary artery disease, complex lesions. Conclusion: The clinical characteristics of young patients with AMI and coronary artery disease and elderly patients are different, should take different prevention and treatment were treated