摘要
目的 探讨早发心肌梗死患者的临床危险因素及冠脉病变特点.方法 采用回顾性研究方法,选择2014年8月到2016年5月在我院诊治的早发心肌梗死患者40例作为观察组(男性〈55岁,女性〈65岁),选择同期在我院诊治的非早发心肌梗死患者89例作为对照组(男性≥55岁,女性≥65岁),记录两组的冠脉病变特点,调查临床资料并进行危险因素分析.结果 观察组冠脉病变以单支病变为主,对照组主要为多支病变(P〈0.05).Logistic回归分析结果显示,LDL-C、吸烟史及冠心病家族史是早发心肌梗死的独立危险因素(P均〈0.05).观察组的心力衰竭、恶性心律失常、心源性休克等主要心脏不良事件发生率5.0%,对照组为16.8%,观察组明显低于对照组(P〈0.05).住院期间病死率观察组为5.0%,对照组为11.2%,观察组明显低于对照组(P〈0.05).结论 早发心肌梗死患者的冠脉病变以单支病变为主,LDL-C、吸烟史及冠心病阳性家族史是早发心肌梗死的独立危险因素.早发心肌梗死患者住院期间病死率低,预后好.
Objective To investigate the clinical risk factors and characteristics of coronary artery disease in patients with early myocardial infarction. Methods Used a retrospective study, From August 2014 to May 2016, 40 early myocardial infarction patients in our hospital were selected as the observation group, and 89 non early myocardial infarction patients in our hospital for diagnosis and treatment at the same period were selected as the control group. Recorded the characteristics of coronary artery disease in the two groups, the clinical investiga-tion data were collected and were given risk factors analysis. Results In the observation group, the coronary artery lesions was mainly single vessel disease, the control group was mainly with multiple lesions(P〈0.05). Logis-tic regression analysis showed that LDL-C, smoking history and family history were the independent risk factors for early myocardial infarction (P〈0.05). The adverse events of heart failure, malignant arrhythmia and cardiac shock in the observation group were 5.0%, so that was 16.8% in the control group, the observation group was significant-ly lower than the control group(P〈0.05). Conclusion The patients with early myocardial infarction is mainly with single vessel disease, LDL-C, smoking history and family history are the independent risk factors for early myocar-dial infarction; the patients with early myocardial infarction have low mortality and favorable prognosis.
出处
《中国心血管病研究》
CAS
2017年第7期618-621,共4页
Chinese Journal of Cardiovascular Research
基金
北京市垂杨柳医院普及推广项目
关键词
早发心肌梗死
危险因素
冠脉病变
血脂
吸烟
Early myocardial infarction
Risk factors
Coronary artery disease
Blood lipid
Smoking