目的:对比分析各年龄段男性急性心肌梗死(Acute Myocardial Infarction,AMI)患者危险因素和冠状动脉病变特点等临床特征,为临床制定不同年龄段男性AMI防治策略提供理论依据.方法:收集并整理384例男性AMI患者的临床资料,根据发病年龄将其分为青年组(40例)、中年组(120例)、老年组(224例).应用回顾性研究方法,记录并比较三组患者的入院血压、心率、身体质量指数(Body Mass Index,BMI)等一般资料、实验室指标及冠状动脉病变特征.结果:在三组患者中,发病人群以老年人为主(59％);三组患者入院症状、冠状动脉粥样硬化性心脏病(简称冠心病)家族史、糖化血红蛋白(Hemoglobin A1c,HbA1C)水平等指标的差异存在统计学意义(P＜0.05);三组病变在罪犯血管左回旋支(Left Circumflex,LCX)、发生三支病变及冠状动脉Gensini评分方面的差异存在统计学意义(P＜0.05).结论:不同年龄段男性AMI患者危险因素及冠状动脉病变特征存在明显差异.
A comparative analysis of clinical characteristics of male patients with acute myocardial infarction in different ages
Objective:To compare and analyze the clinical characteristics of male acute myocardial infarction(AMI)patients of different ages,including risk factors and coronary lesion characteristics.Methods:The clinical data of 384 male with clinically diagnosed AMI patients was collected and organized,and the patients were divided into the young group(40 cases),middle-aged group(120 cases),and elderly group(224 cases)according to the age of onset.Using a retrospective study method,this study recorded and compared the risk factors and coronary artery lesion characteristics of the enrolled AMI patients.Results:Among the three groups,the onset of the disease was still dominated by the elderly population(59％).Statistically significant differences existed in the levels of admission symptoms,family history of coronary artery disease,and HbA1C levels among the three groups(P＜0.05).The lesions in the three groups were compared in terms of the offender's vascular LCX,the occurrence of three-branch lesions,and the coronary artery Gensini score(P＜0.05).Conclusion:There are significant differences in risk factors and coronary artery lesion characteristics of male AMI patients in different ages.
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