中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2010年
12期
1081-1084
,共4页
程中伟%杨明%沈建中%谢洪智%刘震宇%曾勇%范中杰%沈珠军%张抒扬%方全
程中偉%楊明%瀋建中%謝洪智%劉震宇%曾勇%範中傑%瀋珠軍%張抒颺%方全
정중위%양명%침건중%사홍지%류진우%증용%범중걸%침주군%장서양%방전
心肌梗死%青少年%血管成形术,经腔,经皮冠状动脉
心肌梗死%青少年%血管成形術,經腔,經皮冠狀動脈
심기경사%청소년%혈관성형술,경강,경피관상동맥
Myocardial infarction%Adolescent%Angioplasty,transluminal,percutaneous
目的 探讨30岁以下急性心肌梗死(AMI)患者的临床和冠状动脉病变特征.方法 2007年1月至2009年12月共360例因胸痛或胸部不适就诊于北京协和医院行急诊冠状动脉造影确诊AMI患者,对其中7例(1.9%)年龄≤30岁患者[男性4例,年龄(25±5)岁]进行回顾性分析并电话随访.平均随访时间为(12±9)个月.结果 6例为急性ST段抬高型心肌梗死,1例为非ST段抬高型心肌梗死.冠状动脉造影发现5例患者罪犯血管为前降支,左主干和右冠状动脉各1例.3例女性患者均合并先天性血管异常或自身免疫性疾病,包括1例左前降支瘤样扩张,1例大动脉炎和1例系统性红斑狼疮;4例男性患者中3例为吸烟者.2例患者进行了经皮再血管化治疗.随访期间,无患者死亡或因心脏事件再住院者.结论 30岁以下AMI患者多为急性ST段抬高型心肌梗死,以单支、非阻塞性病变常见,前降支为最常见的罪犯血管.女性患者常合并有先天性血管异常或自身免疫性疾病.短期预后较好.
目的 探討30歲以下急性心肌梗死(AMI)患者的臨床和冠狀動脈病變特徵.方法 2007年1月至2009年12月共360例因胸痛或胸部不適就診于北京協和醫院行急診冠狀動脈造影確診AMI患者,對其中7例(1.9%)年齡≤30歲患者[男性4例,年齡(25±5)歲]進行迴顧性分析併電話隨訪.平均隨訪時間為(12±9)箇月.結果 6例為急性ST段抬高型心肌梗死,1例為非ST段抬高型心肌梗死.冠狀動脈造影髮現5例患者罪犯血管為前降支,左主榦和右冠狀動脈各1例.3例女性患者均閤併先天性血管異常或自身免疫性疾病,包括1例左前降支瘤樣擴張,1例大動脈炎和1例繫統性紅斑狼瘡;4例男性患者中3例為吸煙者.2例患者進行瞭經皮再血管化治療.隨訪期間,無患者死亡或因心髒事件再住院者.結論 30歲以下AMI患者多為急性ST段抬高型心肌梗死,以單支、非阻塞性病變常見,前降支為最常見的罪犯血管.女性患者常閤併有先天性血管異常或自身免疫性疾病.短期預後較好.
목적 탐토30세이하급성심기경사(AMI)환자적림상화관상동맥병변특정.방법 2007년1월지2009년12월공360례인흉통혹흉부불괄취진우북경협화의원행급진관상동맥조영학진AMI환자,대기중7례(1.9%)년령≤30세환자[남성4례,년령(25±5)세]진행회고성분석병전화수방.평균수방시간위(12±9)개월.결과 6례위급성ST단태고형심기경사,1례위비ST단태고형심기경사.관상동맥조영발현5례환자죄범혈관위전강지,좌주간화우관상동맥각1례.3례녀성환자균합병선천성혈관이상혹자신면역성질병,포괄1례좌전강지류양확장,1례대동맥염화1례계통성홍반랑창;4례남성환자중3례위흡연자.2례환자진행료경피재혈관화치료.수방기간,무환자사망혹인심장사건재주원자.결론 30세이하AMI환자다위급성ST단태고형심기경사,이단지、비조새성병변상견,전강지위최상견적죄범혈관.녀성환자상합병유선천성혈관이상혹자신면역성질병.단기예후교호.
Objective To explore the clinical characteristics and angiographic features of acute myocardial infarction in patients aged 30 years or younger. Methods Data of 360 consecutive patients referred to Peking Union Medical College Hospital for evaluation of chest pain or discomfort from January 2007 to December 2009, diagnosed as acute myocardial infarction and underwent emergent coronary angiography were analyzed. Seven patients ( 1.9% ) with age ≤ 30 years [4 male, (25 ± 5 ) years] were included in this study, patients were followed up for ( 12 ± 9) months. Results There were 6 cases of ST segment elevated myocardial infarction and 1 non-ST-segment elevated myocardial infarction. The culprit vessels were as follows: 5 left anterior descending artery, 1 left main and 1 right coronary artery. All 3 female patients were complicated with congenital coronary malformation or autoimmune disease, including 1 coronary artery aneurismal dilation of left anterior descending, 1 Takayasu's arteritis and 1 systemic lupus erythematosus. Three of the 4 male patients were smokers. Two patients underwent percutaneous coronary intervention. There was no death or cardiovascular re-admission during the follow-up. Conclusions The majority of acute myocardial infarction in patients aged 30 years or younger were presented with ST-segment elevated myocardial infarction and single vessel non-obstructive lesion. The most common culprit vessel was left anterior descending artery. All female patients were complicated with congenital coronary malformation or autoimmune disease. The short-term prognosis in patients of this cohort was good.
