摘要
目的观察青年急性心肌梗死（STEMI）特点及急诊介入治疗后1年随访预后分析。方法≤40岁青年急性心肌梗死患者28例，均行直接经皮冠脉介入治疗（PPCI），调查冠心病危险因素，并行冠心病二级预防，随访1年。结果①28例STEMI，27例男性，1例女性，平均年龄（35．1±3．7）岁。其中吸烟22例（78．6％），发病前有劳累、情绪激动20例（71．4％），缺乏体育锻炼18例（64．3％），肥胖11例（39．3％），高血压9例（32．1％），糖尿病4例，冠心病家族史3例，9例（32．1％）患者合并多重危险因素。②血管病变以单支病变为主82．1％，罪犯血管为右冠状动脉17例（60．7％），前降支4例（14．3％），回旋支4例（14．3％），冠状动脉正常1例，多支病变4例（14．3％）。③随访1年，血压控制达标率100％，LDL—C达标率78．6％，5例糖尿病患者糖化血红蛋白控制达标，无主要不良心脏事件发生。结论青年STEMI急诊介入治疗后，积极控制吸烟等多重危险因素，加强冠心病二级预防，预后较好。
Objective To observe the clinical characteristics of the young patients with acute ST-segment elevation myocardial infarction （STEMI） and the prognosis after the primary percutaneous coronary interventions （PPCI）. Methods 28 cases of STEMI aged ≤40 （35.1±3.7） were included after PPCI between August 2005 and February 2008 in the Tongren Hospital. The risk factors and the results of coronary angiograms were analyzed; the clinical outcomes after 1 year follow-up were reported. Results ①The risk factors attribute to the STEMI were smoking 22（78.6%）, the overload of work and emotional change 20（71.4%）, inactivity18（64.3%）, obesityl 1（39.3%）, hypertension 9（32.1%）;9（32.1%） of multiple risk factors. ②The criminal vessels included the right coronary artery 17（60.7%）, left anterior descending branch 4（14.3%）, left circumflex artery 4（14.3%）, the incidence of single vessel 82.1%, multiple vessels 4（14.3%）and normal coronary artery 1（3.6%）. ③After 1 year follow-up ,the high success rate of blood pressure（100%）, dyslipidemia （78.6%） were observed without MACE. Conclusion PPCI was efficient on young patients with STEMI, and the prognosis is expected after all the risk factors are realized, and the intensive treatments are performed.
出处
《中国急救复苏与灾害医学杂志》
2009年第9期651-652,664,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
青年
急性ST段抬高心肌梗死
直接经皮冠脉介入治疗
危险因素
Acute St-segment elevation myocardial infarction （STEMI）
Primary percutaneous coronary interventions （PPCI）
Risk factors
