刘兆平,洪涛,李建平,陈明,霍勇

• 1:北京大学第一医院心内科

摘要(Abstract)：

目的了解女性早发冠心病患者的临床和冠状动脉造影影像学特征。方法入选2003年1月至2007年12月接受冠状动脉造影的55岁以下的女性患者,收集既往危险因素(高血压病、糖尿病、高脂血症、脑卒中、代谢综合征等)资料,入院后血压、血脂等临床资料和冠状动脉造影资料,分析危险因素及临床资料与冠心病发病的相关性。结果共入选166例患者,其中冠心病组71例(占42.8%)。在研究人群中糖尿病、代谢综合征、高血压病史、高三酰甘油(甘油三酯)以及低高密度脂蛋白胆固醇依次是冠心病的主要危险因素,同时发现冠心病组体质指数、低密度脂蛋白胆固醇水平、三酰甘油及血糖水平显著高于非冠心病组。冠状动脉病变以单支病变多见。结论对于本研究中的较年轻女性患者,糖尿病史、代谢综合征以及高血压史是最重要的危险因素。

关键词(KeyWords)： 冠状动脉疾病;女性;危险因素

Abstract:

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基金项目(Foundation):

作者(Author): 刘兆平,洪涛,李建平,陈明,霍勇

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