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目的 探讨年轻急性心肌梗死 (AMI)病人临床及冠状动脉病变特征。方法 回顾分析 2 12例不同年龄AMI病人临床特征及冠状动脉造影结果。结果 40岁以下年轻AMI病人达14 .5 6% ,均为男性 ,发病与吸烟、血脂异常、肥胖有关 ,发病急 ,症状典型 ,并发症少 ,死亡率低 ,冠状动脉以单支病变、A型病变为主。 40岁以上AMI病人男性仍高于女性 ,发病与血脂异常、高血压、糖尿病、吸烟有关 ,约 3 0 %症状不典型 ,冠状动脉病变以多支、复杂病变为主。结论 年轻AMI病人临床特点及冠状动脉病变与老年病人不同 ,应采取不同的防治方式分别对待
Objective To investigate the clinical features and coronary lesions in patients with acute myocardial infarction (AMI). Methods The clinical features and coronary angiography findings of 2 12 AMI patients of different ages were retrospectively analyzed. Results Young AMI patients under 40 years of age reached 14.56%, all of them were male. The incidence was related to smoking, dyslipidemia, obesity, acute onset, typical symptoms, low complication, low mortality and single coronary artery disease. A Type of disease-based. The AMI patients over 40 years old are still higher than the female, the incidence of dyslipidemia, hypertension, diabetes, smoking, about 30% atypical symptoms, multiple coronary lesions, complex lesions. Conclusion The clinical features of young patients with AMI and coronary artery disease and elderly patients are different, should take different prevention and treatment were treated