CAJ | 학술논문

目的：分析青年急性心肌梗死患者的危险因素、临床特征及冠脉病变特点。方法选取青年急性心肌梗死患者（＜45岁）53例作为青年组，老年急性心肌梗死患者（≥60岁）60例为老年组，比较两组相关危险因素、临床特点、冠状动脉病变程度。结果青年组男性、吸烟、饮酒、劳累、冠心病家族史、高脂血症、ST段抬高型心肌梗死、有典型胸痛、单支病变病例明显高于老年组，合并高血压、糖尿病、心力衰竭、心源性休克发生率低于老年组。结论吸烟、饮酒、精神压力大、冠心病家族史、超重、高血脂是青年急性心肌梗死的重要危险因素，青年AMI症状典型，多为首次发病和ST段抬高型心肌梗死，单支病变为主。应针对心肌梗死危险因素、临床特点加强预防，积极诊治，以改善预后。
목적：분석청년급성심기경사환자적위험인소、림상특정급관맥병변특점。방법선취청년급성심기경사환자（＜45세）53례작위청년조，노년급성심기경사환자（≥60세）60례위노년조，비교량조상관위험인소、림상특점、관상동맥병변정도。결과청년조남성、흡연、음주、로루、관심병가족사、고지혈증、ST단태고형심기경사、유전형흉통、단지병변병례명현고우노년조，합병고혈압、당뇨병、심력쇠갈、심원성휴극발생솔저우노년조。결론흡연、음주、정신압력대、관심병가족사、초중、고혈지시청년급성심기경사적중요위험인소，청년AMI증상전형，다위수차발병화ST단태고형심기경사，단지병변위주。응침대심기경사위험인소、림상특점가강예방，적겁진치，이개선예후。
Objective To analyze the risk factors,clinical and coronary lesion characteristics of acute myocardial infarction( AMI) in young patients.Methods Collected risk factors, clinical characteristics and coronary lesion levels of 53 young AMI patients ( <45 years old,young group) and compared with 60 aging AMI patients(≥60 years old,old group) .Results Among the young AMI patients ,the ra-tio of male,smoking,drinking,tired,family history,hyperlipidemia were higher than the old group.The occurrence rate of ST segment eleva-tion myocardial infarction( STEMI) ,typical chest pain and single vessel disease with young group were higher than the old.The complica-tions of young AMI patients such as hypertension,diabetes,heart failure and shock were less than that of the old group.Conclusion Smok-ing,drinking,tired,family history,fatness and hyperlipidemia are the important risk factors in young AMI patients.Compared with aging AMI patients,the symptom of young patients were typical and most cases attacked for the first time and presented STEMI.Most of their ves-sel diseases were single vessel.