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目的观察中青年急性冠脉综合征(ACS)合并代谢综合征(MS)患者临床特点。方法中青年ACS患者137例,根据是否合并MS分为MS组和非MS组,比较2组临床特点。结果 MS组代谢异常主要表现为肥胖、高血压、高血糖脂血症、低HDL-C血症等,冠脉造影以多支血管病变和弥漫性血管病变多见。结论对冠状动脉病变严重、左室功能受损明显的中青年ACS合并MS患者及早进行个体化治疗,消除肥胖,控制血糖、血脂等,是降低心血管事件发生率及病死率,提高患者生活质量的关键。
Objective To observe the clinical features of middle-aged and young patients with acute coronary syndrome (ACS) and metabolic syndrome (MS). Methods A total of 137 young and middle-aged patients with ACS were divided into MS group and non-MS group according to whether MS was combined or not. The clinical features of the two groups were compared. Results The main metabolic abnormalities in MS group were obesity, hypertension, hyperlipoidemia and low HDL-C. Coronary angiography was more common in multiple angiographic lesions and diffuse vascular lesions. Conclusion Early treatment of ACS with MS in patients with severe coronary artery disease and impaired left ventricular function may lead to individualized treatment as soon as possible to eliminate obesity, control blood glucose and blood lipid, reduce the incidence of cardiovascular events and mortality, and improve the quality of life of patients key.