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本文报告1980～1986年收治的40岁以下青年急性心肌梗塞(AMI)30例(30/354,8.5%),其中男25例,女5例;年龄22～40岁,平均年龄35.2岁。AMI的诊断按国际通用的诊断标准确定。28例有明显冠心病易患因素,其中高血脂17例,高血压14例,吸烟24例,糖尿病6例,家族史3例;由病毒性心肌炎及风心伴房颤引起者各1例。梗塞部位为前间壁8例,下壁7例,广泛前壁6例,前壁4例,高侧壁3例,前壁+下壁2例。25例有明显诱因,主要为剧烈活动、劳累、大便用力、饮酒及情
This article reports 30 cases (30/354, 8.5%) of acute myocardial infarction (AMI) younger than 40 years of age from 1980 to 1986, including 25 males and 5 females, aged from 22 to 40 years with a mean age of 35.2 years. The diagnosis of AMI is based on internationally accepted diagnostic criteria. 28 cases had obvious risk factors of coronary heart disease, including 17 cases of hyperlipidemia, hypertension in 14 cases, smoking 24 cases, 6 cases of diabetes, family history in 3 cases; by viral myocarditis and wind heart with atrial fibrillation caused by 1 case. Infarct sites were anterior wall in 8 cases, inferior wall in 7 cases, extensive anterior wall in 6 cases, anterior wall in 4 cases, high side wall in 3 cases, anterior wall + inferior wall in 2 cases. 25 cases had obvious incentives, mainly for strenuous activities, tired, hard stool, alcohol and love