引用本文:石向欣,赵跃华,张韫欢,贺玉晓,张敏秀,王占启.30岁以下急性心肌梗死4例患者的临床特点分析[J].中国临床新医学,2019,12(6):634-637.
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30岁以下急性心肌梗死4例患者的临床特点分析
石向欣,赵跃华,张韫欢,贺玉晓,张敏秀,王占启
071000 保定,河北大学医学院(石向欣,赵跃华,张韫欢,贺玉晓,张敏秀);071000 保定,河北大学附属医院心内科(王占启)
摘要:
[摘要] 目的 分析30岁以下急性心肌梗死(AMI)4例患者的临床特点。方法 对4例30岁以下AMI患者的临床资料进行回顾性分析,并复习国内外相关文献。结果 (1)4例均为男性患者。(2)4例均有不同程度的吸烟史,均表现为高甘油三酯血症或高密度脂蛋白胆固醇水平低下,都有高热量、高盐饮食的习惯。2例有明确发病诱因(缺乏睡眠、情绪激动等)。(3)2例患者在心肌梗死前无明显心绞痛的症状。(4)3例冠脉造影结果均为单支病变,且2例为前降支病变,梗死相关血管均无完全闭塞,且病例2狭窄最重处仅50%有闭塞,规律复查后未再复发,预后较好。结论 男性、吸烟史、肥胖、脂质异常、家族史及环境危险因素、情绪激动等不良生活方式可能是导致青年人发生AMI的主要危险因素,而且一些患者的临床表现并不典型。
关键词:  急性心肌梗死  青年人  30岁以下  临床特点
DOI:10.3969/j.issn.1674-3806.2019.06.14
分类号:R 542.2+2
基金项目:河北大学一省一校资金资助项目
Analysis of clinical features in 4 cases of acute myocardial infarction under 30 years old
SHI Xiang-xin, ZHAO Yue-hua, ZHANG Yun-huan, et al.
Medical College of Hebei University, Baoding 071000, China
Abstract:
[Abstract] Objective To summarize the clinical features of four patients with acute myocardial infarction(AMI) under 30 years old. Methods The clinical data of 4 patients with AMI under 30 years old were retrospectively analyzed, and the relevant literatures at home and abroad were reviewed. Results (1)All the four patients were male patients. (2)All the four patients had different degrees of smoking history, all of which showed high triglycerideemia or low-density lipoprotein cholesterol levels, and had a habit of high-calorie and high-salt diet. Two cases had a clear cause of the disease(lack of sleep, emotional agitation, etc.). (3)Two patients had no symptoms of angina pectoris before myocardial infarction. (4)The results of three cases of angiography had single-vessel disease, and two cases were anterior descending artery lesions. The infarct-related blood vessels were not completely occluded, and the most serious stenosis of case 2 was only 50%.There was no recurrence after regular reexamination, and the prognosis was good. Conclusion Men, smoking history, obesity, lipid abnormalities, family history and environmental risk factors, emotional agitation and other unhealthy lifestyles maybe the main risk factors for AMI in young people, and some patients have atypical clinical manifestations.
Key words:  Acute myocardial infarction(AMI)  Young people  Under 30 years old  Clinical features