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目的 了解中青年人急性心肌梗死 ( AMI)的临床特点。方法 对 5 6例中青年人 AMI患者性别、发病诱因、症状及危险因素进行回顾性研究。结果 中青年人 AMI患者以男性多见 ( 96 .4%) ;发病突然 ,多有明确诱因 ( 73.2 %) ,少有先兆 ( 5 .4%) ;发病时有典型心绞痛症状或持续剧烈胸骨后疼痛 ( 92 .9%) ;危险因素依次为吸烟 ( 85 .7%)、高脂血症 ( 4 6 .4%)、心血管疾病阳性家族史( 4 1.1%)和长期过量饮酒 ( 33.9%)。结论 对中青年人急性心肌梗死的预防应强调早期去除危险因素。
Objective To understand the clinical features of middle-aged and young patients with acute myocardial infarction (AMI). Methods A retrospective study was conducted on the gender, incidence predisposition, symptoms and risk factors of 56 young and middle-aged patients with AMI. Results Most young and middle-aged patients with AMI were more common in men (96.4%). Sudden onset, more definite causes (73.2%), less threatened (5.4%), onset of typical angina or persistent severe sternal (92.9%), followed by smoking (85.7%), hyperlipidemia (46.4%), positive family history of cardiovascular disease (41.1%) and long-term excessive alcohol consumption (33.9% ). Conclusion Prevention of acute myocardial infarction in young adults should emphasize the early removal of risk factors.