青年急性心肌梗死患者危险因素冠脉造影及心功能的的特点分析.docVIP

青年急性心肌梗死患者危险因素冠脉造影及心功能的的特点分析 　　[摘要] 目的 探讨青年急性心肌梗死（AMI）患者的危险因素、冠脉造影（CAG）、心功能特点。 方法 选取青年急性心肌梗死患者37例，同期入院的中老年急性心肌梗死41例，分析青年组危险因素、梗死部位、冠脉造影、心功能情况与老年组的差异。 结果 青年组以男性为主（92.1%），吸烟、冠心病家族史、高甘油三酯（TG）为青年组的独立危险因素，青年组与中老年组相比冠脉病变特点为以单支病变为主（55.3%），中老年组以三支病变为主（43.9%），且青年组梗死相关血管多为前降支（71.7%），同时通过心脏超声发现青年组较老年组心功能好（P0.05）。 结论 青年组急性心肌梗死以男性为主，有多种危险因素，冠脉造影以单支病变多见，心脏结构及功能改变不明显，故加强对心梗的宣教，早期监测及干预可能改善预后。 　　[关键词] 青年；急性心肌梗死；危险因素；冠脉造影；心功能 　　[中图分类号] R542.22 [文献标识码] B [文章编号] 1673-9701（2015）19-0030-03 　　Analysis of characteristics of risk factors， coronary angiography and cardiac functions in young patients with acute myocardial infarction 　　YAN Cuiping SU Haifeng 　　Department of Cardiology， Beijing Yanqing County Hospital， Beijing 102100， China 　　[Abstract] Objective To investigate the characteristics of risk factors， coronary angiography （CAG） and cardiac functions in young patients with acute myocardial infarction （AMI）. Methods A total of 37 cases of young patients with acute myocardial infarction were chosen， and 41 cases of middle-aged and aged patients with acute myocardial infarction who were admitted in our hospital in the same period were chosen. The differences of risk factors， infarction position， coronary angiography infarction and heart functions between the youth group and the middle-aged and aged group were analyzed. Results Males accounted for 92.1% in the young group. Smoking， family history of coronary heart disease and high triglycerides （TG） were independent risk factors for the youth group. Coronary artery disease of the youth group compared with that of the middle-aged and aged group was mainly characterized by a single branch disease （55.3%）， and that of the middle-aged and aged group was mainly characterized by triple vessel lesions （43.9%）. And infarct-related artery anterior in the youth group occurred mainly in the descending branch （71.7%）. It was found that cardiac functions of the middle-aged and aged group were better than those of the youth group by cardiac a