| 青年急性ST段抬高性心肌梗死患者的临床特点及冠状动脉病变特点研究 |
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| 引用本文： | 陈莉,李宪伦,秦延莉,周颖,刘晓飞,王勇,曾玉杰,柯元南.青年急性ST段抬高性心肌梗死患者的临床特点及冠状动脉病变特点研究[J].中国全科医学,2011,14(33). |
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| 作者姓名： | 陈莉 李宪伦 秦延莉 周颖 刘晓飞 王勇 曾玉杰 柯元南 |
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| 作者单位： | 中日友好医院心内科,北京市,100029 |
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| 摘 要： | 目的分析青年急性ST段抬高性心肌梗死患者的临床特征和冠状动脉病变特点。方法将2005年1月—2010年12月我院收治的389例急性ST段抬高性心肌梗死患者按照年龄分为青年组(<45岁)和老年组(60～80岁),比较两组患者的基本临床特征、冠状动脉造影结果及预后。结果与老年患者比较,青年急性ST段抬高性心肌梗死患者中男性占绝大多数,危险因素中以吸烟和肥胖为著。冠状动脉造影检查发现单支病变多见,多累及左前降支。青年患者平均住院天数明显少于老年患者,住院期间主要心血管不良事件的发生率均明显低于老年患者,差异均有统计学意义(P<0.05)。结论吸烟和肥胖是青年急性ST段抬高性心肌梗死患者最重要的危险因素。青年患者冠状动脉病变多为单支病变,住院期间主要心血管不良事件较老年患者少。
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| 关 键 词： | 急性ST段抬高性心肌梗死 青年 危险因素 冠状血管造影术 主要心血管不良事件 |
Clinical Characteristics and Coronary Angiographic Features of Young Patients with Acute ST-Elevation Myocardial Infarctions |
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| CHEN Li,LI Xian-lun,QIN Yan-Li,et al..Clinical Characteristics and Coronary Angiographic Features of Young Patients with Acute ST-Elevation Myocardial Infarctions[J].Chinese General Practice,2011,14(33). |
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| Authors: | CHEN Li LI Xian-lun QIN Yan-Li |
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| Affiliation: | CHEN Li,LI Xian-lun,QIN Yan-Li,et al.Department of Cardiology,China-Japan Friendship Hospital,Beijing 100029,China |
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| Abstract: | Objective To analyze the clinical characteristics and coronary angiographic features of young patients with acute ST-elevation myocardial infarction(STEMI).Methods Totally 389 consecutive patients with STEMI were enrolled from Jan.2005 to Dec.2010.Baseline clinical characteristics,coronary angiographic data and outcomes in young patients(<45 years) were compared with those in elder patients(60~80 years).Results Young patients with STEMI were predominantly males.In comparison with the aged patients,smoking a... |
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| Keywords: | Acute ST-elevation myocardial infarction Young adults Risk factors Coronary angiography Major adverse cardiovascular events |
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