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青年急性心肌梗死临床特点及冠状动脉介入治疗的探讨

Clinical Features and Percutaneous Coronary Intervention of Acute Myocardial Infarction in the Young Patients

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【作者】 王峻; 姜德谦; 文丹; 方臻飞;

【Author】 WANG Jun,JIANG De-qian,WEN Dan,et al(Department of Cardiology,Second Xiangya Hospital,Central South University,Changsha 410011,China)

【机构】 中南大学湘雅二医院心内科; 中南大学湘雅二医院心内科 湖南长沙410011; 湖南长沙410011;

【摘要】 【目的】通过对不同年龄组急性心肌梗死(AMI)患者的对比分析,探讨青年人急性心肌梗死临床及介入治疗的特点。【方法】89例AMI患者根据年龄分成两组,其中34例年龄小于45岁者为青年组,55例年龄大于60岁者为老年组,对其进行对比观察,并予冠状动脉介入治疗。【结果】老年组急性心肌梗死患者比青年组具有更多的危险因素,老年组临床多有心绞痛;青年组AMI较老年组高,发作多有明显诱因,如大量饮酒,超负荷运动等;病死率两组相似。【结论】青年人AMI有它特有的临床特点,其高危性应引起临床重视。

【Abstract】 【Objective】To evaluate the clinical features of acute myocardial infarction(AMI) in young patients.【Methods】Eighty-nine patients were classified into two groups according to the age.Among them,55 patients were 60 years old and above,34 patients below 45 years old.Percutaneous coronary intervention was performed on all cases.【Results】The older group had more risk factors than the young group.The angina pectoris in the young group was less than in the older group.The incidence of acute heart failure in the young group was higher than in the older group.The mortality of both groups had no significant differences.(【Conclusion】)The high risk of AMI in the young patients should be paid more attention to in the clinic.

  • 【文献出处】 医学临床研究 ,Journal of Clinical Research , 编辑部邮箱 ,2006年05期
  • 【分类号】R542.22
  • 【下载频次】49
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