中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
19期
30-32
,共3页
青年%急性心肌梗死%危险因素%冠脉造影%心功能
青年%急性心肌梗死%危險因素%冠脈造影%心功能
청년%급성심기경사%위험인소%관맥조영%심공능
Youth%Acute myocardial infarction%Risk factors%Coronary angiography%Cardiac functions
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(P<0.05)。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。
目的：探討青年急性心肌梗死(AMI)患者的危險因素、冠脈造影(CAG)、心功能特點。方法選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，分析青年組危險因素、梗死部位、冠脈造影、心功能情況與老年組的差異。結果青年組以男性為主(92.1%)，吸煙、冠心病傢族史、高甘油三酯(TG)為青年組的獨立危險因素，青年組與中老年組相比冠脈病變特點為以單支病變為主(55.3%)，中老年組以三支病變為主(43.9%)，且青年組梗死相關血管多為前降支(71.7%)，同時通過心髒超聲髮現青年組較老年組心功能好(P<0.05)。結論青年組急性心肌梗死以男性為主，有多種危險因素，冠脈造影以單支病變多見，心髒結構及功能改變不明顯，故加彊對心梗的宣教，早期鑑測及榦預可能改善預後。
목적：탐토청년급성심기경사(AMI)환자적위험인소、관맥조영(CAG)、심공능특점。방법선취청년급성심기경사환자37례，동기입원적중노년급성심기경사41례，분석청년조위험인소、경사부위、관맥조영、심공능정황여노년조적차이。결과청년조이남성위주(92.1%)，흡연、관심병가족사、고감유삼지(TG)위청년조적독립위험인소，청년조여중노년조상비관맥병변특점위이단지병변위주(55.3%)，중노년조이삼지병변위주(43.9%)，차청년조경사상관혈관다위전강지(71.7%)，동시통과심장초성발현청년조교노년조심공능호(P<0.05)。결론청년조급성심기경사이남성위주，유다충위험인소，관맥조영이단지병변다견，심장결구급공능개변불명현，고가강대심경적선교，조기감측급간예가능개선예후。
Objective To investigate the characteristics of risk factors, coronary angiography (CAG) and cardiac func tions 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, coro-nary 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-re lated 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 angiography (P<0.05). Conclusion Acute myocardial infarction in youth group mainly occurs in men with several risk factors and coronary an-giography single vessel disease is more common by coronary angiography with no significant change in cardiac structure and functions. Strengthening the MI education, early detection and intervention may improve prognosis.
