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36岁前发生心肌梗塞的最常见原因虽然主要是动脉粥样硬化累及冠状血管,但也有不少并非是动脉粥样硬化所致.心肌梗塞常可发生在冠状动脉正常的病人中,偶尔年轻的病人中的心肌梗塞是由于冠状动脉异常所致.这些病例的预后和处理取决于冠状动脉阻塞性疾病的存在与否以及心肌梗塞的原因.本文复习120例36岁前临床上证实心肌梗塞的患者,按血管造影显示的冠状动脉病变进行分组,侧重于对易患因子的分析.方法:1972年4月到1981年5月间连续收治
Although the most common cause of myocardial infarction before age 36 is mainly atherosclerosis involving the coronary vessels, many are not caused by atherosclerosis.Myocardial infarction often occurs in patients with normal coronary arteries and occasionally young Myocardial infarction in patients is due to abnormalities in the coronary arteries.The prognosis and treatment of these cases depend on the presence or absence of coronary artery obstructive disease and the cause of myocardial infarction.This review 120 patients clinically confirmed myocardial infarction before 36 years old , Grouped according to angiographic coronary artery lesions, focusing on the analysis of predisposing factors.Methods: From April 1972 to May 1981, patients were consecutively treated