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我们收治12例青年急性心肌梗塞患者(AMI),均为男性,年龄17～40岁。有冠心病史有7例,有危险因素者11例(高血压3例,吸烟6例,高血脂2例)。诱发因素:劳累、饮酒各2例,排尿晕厥1例,睡眠4例,无诱因3例。梗塞位于前壁8例,下壁2例,侧壁及前壁+下壁各1例。12例均无梗塞先兆,11例有典型心绞痛,1例腹痛。伴发心律失常3例,心源性休克死亡1例。 讨论:青年AMI以冠状动脉粥样硬化为首要病因。本组既往冠心病患者占58.3％,冠心病危险因素如高血压、高脂血症、吸烟占91.7％,说明及早预防冠心病和消除危险因素是减少或延迟青年AMI发病的关键。在无诱因及睡眠发病的7例中,2例
We treated 12 patients with acute myocardial infarction (AMI), both men, aged 17 to 40 years. There are 7 cases of coronary heart disease, 11 cases of risk factors (hypertension in 3 cases, 6 cases of smoking, hyperlipidemia in 2 cases). Evoked factors: fatigue, alcohol in 2 cases, micturition syncope in 1 case, sleep in 4 cases, no incentive in 3 cases. The infarction was located in 8 cases of anterior wall, 2 cases of inferior wall, 1 case of lateral wall and anterior wall + inferior wall. All 12 patients had no infarction signs, 11 had typical angina and 1 had abdominal pain. 3 cases with arrhythmia and 1 case died of cardiogenic shock. Discussion: AMI in young people with coronary atherosclerosis as the leading cause. This group of previous coronary heart disease patients accounted for 58.3%, coronary heart disease risk factors such as hypertension, hyperlipidemia, smoking accounted for 91.7%, indicating that early prevention of coronary heart disease and elimination of risk factors is to reduce or delay the onset of young AMI key. In the absence of incentives and sleep onset in 7 cases, 2 cases