摘要
目的 探讨年龄≤ 35岁以下青年人急性心肌梗死 (AMI)的临床特征。方法 将 1995年～ 1998年住院AMI共 6 7例 ,其中年龄≤ 35岁者 10例为A组 ,年龄≥ 4 0岁者 5 4例为B组 ,配对因素分析AMI发作前心绞痛史、诱因、首发症状、高危因素调查及起病 12h内LVEF值、合并症、心肌梗死延展等方面的差异。结果 A组吸烟、体重指数高于B组 ,A组病前心绞痛史、HDL c少于B组 ,A组下壁心肌梗死 (MI)常见、发病时症状典型 ,A组LVEF <5 0 %占 2 0 % ,B组为 4 6 .3% ,二者比较差异显著 (P <0 .0 5 )。结论 青年人MI临床特征明显不同于高龄患者。
Objective To investigate the clinical characteristic of the youth(≤35 years old) with acute myocardial infarction (AMI).Methods 67 hospitalized patients from 1995～1998,were divided into 2 groups,group A (≤35 years old) of 10 cases,group B (≥40 years old) of 54 cases.The following factors were analysed:AP history prior to AMI,inducing factor,the first clinical symptom,high risk factors,LVEF in 12 hour after AMI,complication,body weight index (BWI).Results Somking,higher BWI,lower HDL c,less AP history,typical clinic symptom and posterior MI appeared more in group A while the percentage of patients with LVEF<50% in group A was 20% and in group B 46.3%(P<0.05).Conclusions The clinical characteristic of the youth with AMI is obviously different from the elder.
出处
《潍坊医学院学报》
2003年第1期45-46,共2页
Acta Academiae Medicinae Weifang
关键词
心肌梗死
急性
青年人
临床特征
Myocardial infraction,acute
Youth
Clinical character
