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目的 探讨青年急性冠脉综合征患者的心血管危险因素及与老年急性冠脉综合征患者的不同点。方法 对 5 2例青年 (≤ 4 5岁 )急性冠脉综合征患者及 5 6例老年 (>6 0岁 )急性冠脉综合征患者的临床资料进行回顾性分析和比较。结果 青年急性冠脉综合征组吸烟、大量饮酒、肥胖、心血管病家族史明显高于老年组 (P <0 0 0 1或P <0 0 1) ,男性多 (P <0 0 1) ,甘油三脂高 (P <0 0 5 )。青年组心电图ST段抬高多及ST段无变化多 (P <0 0 5 )。结论 吸烟、大量饮酒、肥胖、高甘油三脂、心血管家庭史是青年急性冠脉综合征患者突出的危险因素 ,不良的生活饮食习惯和遗传因素促使冠心病提早发生。
Objective To investigate the cardiovascular risk factors in young patients with acute coronary syndrome and their differences with elderly patients with acute coronary syndrome. Methods The clinical data of 52 patients with acute coronary syndrome (≤ 45 years old) and 56 elderly patients (> 60 years old) with acute coronary syndrome were retrospectively analyzed and compared. Results The family history of smoking, heavy drinking, obesity and cardiovascular disease in young patients with acute coronary syndrome were significantly higher than those in the elderly (P <0.01 or P <0.01), more men (P <0.01) High triglyceride (P <0 05). There was no change in ECG of ST segment in ST group and ST segment in young group (P <0.05). Conclusion Smoking, heavy drinking, obesity, high triglyceride and family history of cardiovascular disease are the prominent risk factors in patients with acute coronary syndrome. Adverse events and eating habits and genetic factors contribute to the early occurrence of coronary heart disease.