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目的研究急性心肌梗死患者中青年人发病的冠状动脉(冠脉)病变特点及危险因素。方法急性心肌梗死患者分成54例青年组(年龄≤45岁)和96例非青年组(年龄>45岁),对两组患者的临床情况进行比较分析。结果两组均为男性患者多于女性,青年组吸烟、大量饮酒、心血管病家族史较非青年组明显增多(P<0.05),青年组多冠状动脉单支病变,非青年组多冠状动脉多支病变。结论青年急性心肌梗死患者主要的危险因素是吸烟、饮酒和遗传因素促使冠心病提早发生。
Objective To study the characteristics and risk factors of coronary artery (coronary) lesion in young patients with acute myocardial infarction. Methods Acute myocardial infarction patients were divided into 54 youths (≤45 years) and 96 non-youths (age> 45 years). The clinical data of two groups were compared. Results In both groups, there were more male patients than female ones. Smoking, heavy alcohol consumption and family history of cardiovascular disease were significantly increased in young group than in non-young group (P <0.05). In young group, single coronary artery disease and non-youth group had multiple coronary artery Multi-vessel disease. Conclusion The main risk factors for acute myocardial infarction in young people are smoking, drinking and genetic factors to promote the early occurrence of coronary heart disease.