摘要
目的探讨绝经期前急性冠状动脉综合征患者的临床特点。方法比较急性冠状动脉综合征绝经期前女性18例和同龄男性患者72例的冠状动脉造影结果和临床特点。结果绝经期前女性急性冠状动脉综合征患者无明显冠心病危险因素,左主干和前降支病变构成比、心跳骤停或心室颤动发生率和有主动脉球囊反搏适应证的比例和病死率均高于男性,但三支血管病变构成比低于男性组。结论绝经期前女性急性冠状动脉综合征患者病情较同龄男性重和预后差。
Objectives To search the clinical characters of young women with acute coronary syndrome before menopause. Methods The clinical characters of women before menopause with acute coronary syndrome was compared to those of young men. Results The risk factors of young women patients were no significant, coronary angiography showed that the proportion of left main and left anterior descending lesion in women was higher than that in men, but that of 3 vessels lesion was lower, the events of cardiac arrest, ventricular tachycardia/ventricular fibrillation and mortality were higher in young women, and the heart failure and the utilization of intra- aortic balloon pump （IABP） counterpulsation were more frequent. Conclusions Acute coronary syndrome in young women before postmenopausal will be more serious and has worse prognosis than the same age men.
出处
《岭南心血管病杂志》
2006年第4期270-272,共3页
South China Journal of Cardiovascular Diseases
