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目的分析青年人急性心肌梗死(AMI)的临床及冠状动脉造影特点。方法年龄≤40岁的AMI患者40例作为A组,年龄>40岁的AMI患者40例作为B组,比较两组患者临床特点及冠状动脉造影结果。结果 A组中大量吸烟、阳性家族史的比率明显高于B组,A组中多无心绞痛、高血压及糖尿病病史。A组中冠状动脉造影正常比率明显高于B组,单支病变的比率明显高于B组。B组冠状动脉造影显示多支病变的比率明显高于A组。结论青年人AMI以大量吸烟、阳性家族史为重要危险因素,多为单支病变,预后较佳。
Objective To analyze the clinical characteristics and coronary angiography of young patients with acute myocardial infarction (AMI). Methods Forty patients with AMI under 40 years old as group A and 40 AMI patients> 40 years old as group B. The clinical features and coronary angiography were compared between the two groups. Results A group of smoking, the positive family history was significantly higher than the B group, A group, no more angina pectoris, hypertension and diabetes history. The normal ratio of coronary angiography in group A was significantly higher than that in group B, and the rate of single vessel lesion was significantly higher than that in group B. Group B coronary angiography showed multi-vessel disease was significantly higher than the A group. Conclusion The AMI in young people has a large number of smoking and positive family history as an important risk factor, mostly single disease, the prognosis is better.