摘要
目的 :探讨青年人急性心肌梗死的临床及冠状动脉病变特点。方法 :年龄≤ 40岁的急性心肌梗死患者 40例为青年组 ,年龄 >40岁的急性心肌梗死患者 12 0例为中老年组。观察其吸烟、高血压、糖尿病、血糖、血清胆固醇及甘油三酯等冠心病危险因子 ,并分析其发病有无过量吸烟、过度劳累、精神紧张、过量饮酒等诱发因素。 16 0例患者均在急性心肌梗死后 30d内行选择性冠状动脉造影。结果 :青年组患者多无高脂血症、高血压病、高血糖、糖尿病等危险因素 ,但多数吸烟 ,且本组急性心肌梗死多在过量吸烟、过量饮酒、过度劳累及精神紧张或情绪波动后发病。冠脉造影结果显示青年组患者的平均病变血管数显著少于中老年组 ,以单支病变为多 ,在病变类型上青年组以单纯偏心性病变 ,而中老年组以向心性病变及复杂病变为多。结论 :过量吸烟、过度劳累、精神紧张。
Objective To discuss the clinical and angiographic characteristics of acute myocardial infarction in young patients.Methods Forty patients(≤40 years,group A)and 120 patients(>40 years,group B) were observed the risk factors of coronary heart disease as smoking,essential hypertension,diabetes mellitus,blood glucose,serum cholesterol and serum glyceride to study whether excess smoking,excess drinking,fatigue and mental strain were the induced factors.All the patients received coronary arteriography in 30 days after acute myocardial infarction.Results The lower level of serum lipids and fewer facilitating factors such as essential hypertension and diabetes mellitus were found in group A.But most patients smoked.And in this group,most patients were found excess smoking,excess drinking,fatigue and mental strain in the attack of acute myocardial infarction.Coronary arteriography showed that multiple vessel disease occurred more frequently in group B than in group A (P<0.01).Minor stenosis and greater percentage of single vessel disease and coronary spasm were found in group A.Conclusion Excess smoking,excess drinking,fatigue and mental strain are probably the most important risk factors of acute myocardial infarction.
出处
《河南诊断与治疗杂志》
2002年第5期326-327,共2页
Henan Journal of Diagnosis and Therapy
关键词
急性心肌梗死
青年人
冠状动脉造影
Young people
acute myocardial infarction
coronary arteriography
