论文部分内容阅读
目的分析青年人急性心肌梗死(AMI)的临床特点及其可能致病因素。方法对88例青年人急性心肌梗死(AMI)患者进行回顾性分析,从危险因素、诱因、发病方式、冠状动脉造影、心功能情况等方面来分析青年人急性心肌梗死的临床特点。结果冠状动脉造影85例,其中冠状动脉痉挛8例,其余均有冠状动脉血管的病变。猝死3例,心功能正常51例,心功能不全1～3级37例。结论本组青年人AMI以男性多见,吸烟和家族史是造成青年人AMI的最主要危险因素。冠状动脉血管以单支病变为主,预后较好,应重视对青年人危险因素的早期干预。
Objective To analyze the clinical features and possible pathogenesis of acute myocardial infarction (AMI) in young people. Methods 88 cases of acute myocardial infarction (AMI) in young patients were retrospectively analyzed. The clinical features of young patients with acute myocardial infarction were analyzed from the aspects of risk factors, inducement, pathogenesis, coronary angiography and cardiac function. Results 85 cases of coronary angiography, including coronary artery spasm in 8 cases, the rest have coronary artery lesions. 3 cases of sudden death, 51 cases of normal cardiac function, cardiac insufficiency in 1 to 3 37 cases. Conclusion This group of young people AMI more common in men, smoking and family history is the most important risk factors for young people AMI. Coronary artery disease with a single main line, the prognosis is good, young people should pay attention to early risk factors for intervention.