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目的分析青年急性心肌梗死患者临床特点以及行直接经皮冠状动脉介入治疗的安全性和有效性。方法 2005年6月—2009年6月本院收治的行直接PCI的急性ST段抬高型心肌梗死患者,其中青年组50例,老年组60例。回顾性总结两组患者临床发病情况,危险因素,CAG结果及6个月直接PCI治疗结果。结果青年急性心肌梗死患者多有明确的诱因并且多有吸烟和冠心病家族史等危险因素,冠脉造影多为单支血管病变,直接经皮冠状动脉介入治疗的疗效与老年组无统计学意义(P>0.05)。结论控制诱因和危险因素对青年急性心肌梗死患者至关重要,青年急性心肌梗死患者行直接经皮冠状动脉介入治疗安全、有效。
Objective To analyze the clinical features of young patients with acute myocardial infarction and the safety and efficacy of direct percutaneous coronary intervention. Methods From June 2005 to June 2009, 50 patients with acute ST-segment elevation myocardial infarction undergoing direct PCI in our hospital were admitted to our hospital, including 60 in the young group and 60 in the elderly group. The clinical incidence, risk factors, CAG results and 6-month direct PCI were retrospectively reviewed. Results There were definite causes and more risk factors of smoking and family history of coronary heart disease in young patients with acute myocardial infarction. Most coronary angiography was single vessel disease. The effect of direct percutaneous coronary intervention was not statistically significant (P> 0.05). Conclusions The control incentives and risk factors are very important for young patients with acute myocardial infarction. It is safe and effective for young patients with acute myocardial infarction to undergo direct percutaneous coronary intervention.