杨明,柏小寅,倪建佼,徐佳晨,曾勇,沈珠军,方全

• 1:中国医学科学院 北京协和医院心内科

摘要(Abstract)：

目的分析年龄≤30岁急性心肌梗死(acute myocardial infarction,AMI)患者的临床特点。方法 2007年1月至2014年12月共有1204例就诊于北京协和医院行急诊冠状动脉造影并确诊AMI的患者,其中18例(1.5%)年龄≤30岁,对患者的临床资料和随访情况进行回顾性分析。结果 18例患者中,13例(72.2%)为ST段抬高急性心肌梗死,5例(27.8%)为非ST段抬高急性心肌梗死。冠状动脉造影发现,10例(55.6%)患者为单支病变,其中左前降支8例,右冠状动脉2例。6例女性患者中有5例(83.3%)合并自身免疫性疾病,包括4例大动脉炎和1例系统性红斑狼疮。12例男性患者中,吸烟者10例(83.3%)。共有10例患者(55.6%)进行了经皮冠状动脉介入治疗。随访期间无患者死亡,1例大动脉炎患者发生支架内再狭窄。结论年龄≤30岁AMI患者多为ST段抬高急性心肌梗死,以单支病变多见,前降支为最常见的罪犯血管;女性患者多合并自身免疫性疾病,以大动脉炎最为常见;经皮冠状动脉介入治疗短期预后较好,远期预后取决于合并症。

关键词(KeyWords)： 心肌梗死;青少年;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杨明,柏小寅,倪建佼,徐佳晨,曾勇,沈珠军,方全

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