论文部分内容阅读
目的探讨青年人急性心肌梗死(AMI)发病的特点,以及与老年人AMI的不同之处。方法对126例AMI患者行经皮冠状动脉介入治疗,其中青年人AMI46例;老年人AMI80例。收集病史资料,包括性别、高血压病史、吸烟史、糖尿病史、心血管家族史,入院后记录血生化(血糖、血脂)、血压以及并发症(心功能、心律失常),急诊或择期行冠状动脉造影,了解冠状动脉病变情况。结果青年组男性发病率为93.48%,明显高于女性的6.52%,吸烟率为95.65%,冠心病家族史为19.57%,均显著高于老年组的80.0%及6.25%;老年组高血压、高脂血症发病率为65.0%及46.25%,明显高于青年组的45.65%及23.91%;青年组心功能Ⅰ级者占58.7%,明显高于老年组的22.5%,而III级者青年组占6.52%,明显低于老年组的30.0%;青年组单支病变发生率为54.35%,明显比老年组的12.50%增多,三支病变少于老年组的57.50%;冠脉痉挛青年组为10.87%,高于老年组的1.25%。结论青年AMI男性高发,有吸烟史、高脂血症史易发生,尤其有冠心病家族史者,单支病变较多,并发症少,预后较老年组好。
Objective To investigate the characteristics of young people with acute myocardial infarction (AMI) and their differences with AMI in the elderly. Methods 126 cases of AMI patients underwent percutaneous coronary intervention, including 46 cases of young AMI AMI; elderly 80 cases of AMI. Collect historical data including gender, history of hypertension, history of smoking, history of diabetes, family history of cardiovascular disease, blood biochemistry (blood glucose, blood lipids), blood pressure and complications (cardiac function and arrhythmia) after admission, emergency or elective coronary Arteriography to understand coronary artery disease. Results The incidence of male in the youth group was 93.48%, significantly higher than that of the female, 6.52%. The smoking rate was 95.65% and the family history of coronary heart disease was 19.57%, which were significantly higher than 80.0% and 6.25% of the elderly group. The incidence of hyperlipidemia was 65.0% and 46.25%, which was significantly higher than that of the young group (45.65% and 23.91%). The young group had 58.7% of the patients with grade Ⅰ cardiac function, which was significantly higher than that of the elder group (22.5% Group accounted for 6.52%, significantly lower than 30.0% of the elderly group; young group single vessel disease was 54.35%, significantly higher than the elderly group of 12.50%, three lesions less than the elderly group 57.50%; Coronary spasm youth group 10.87%, higher than the elderly group of 1.25%. Conclusion Young men with AMI have a high incidence of smoking, a history of smoking, and a history of hyperlipidemia. In particular, there is a family history of coronary heart disease with more single-vessel disease and fewer complications, and the prognosis is better than that of the elderly group.