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急性冠状动脉疾病、年轻人的危险因素预后及流行情况

Acute coronary disease, prognosis and prevalence of risk factors in young adults.

作者信息

Gudiño Gomezjurado Alvaro, Pujol Freitas Bianca, Contreira Longatto Flavia, Negrisoli Juliana, Aguiar Sousa Gustavo

机构信息

Unidad de coronariopatías, Instituto del Corazón INCOR, Sao Paulo, Brasil. Address: Avenida Dr. Enéas de Carvalho Aguiar 44, Pinheiros, São Paulo, Brasil. Email:

Unidad de coronariopatías, Instituto del Corazón INCOR, Sao Paulo, Brasil.

出版信息

Medwave. 2017 Nov 9;17(9):e7088. doi: 10.5867/medwave.2017.09.7088.

Abstract

Acute coronary disease is a rare entity in young people and is mostly related to atherosclerotic disease. However, other causes such as myocardial bridges, coronary artery dissection and antiphospholipid syndrome may be present. The prognosis of the disease in this group of patients is favorable; although women may have a higher morbidity because diagnosis and treatment can be delayed. The goal of this review is to update the knowledge about risk factors and prognosis of young patients with an acute coronary event compared to the older population.

摘要

急性冠状动脉疾病在年轻人中较为罕见,主要与动脉粥样硬化疾病相关。然而,也可能存在其他病因,如心肌桥、冠状动脉夹层和抗磷脂综合征。这类患者的疾病预后良好;尽管女性的发病率可能较高,因为诊断和治疗可能会延迟。本综述的目的是更新与老年人群相比,年轻急性冠状动脉事件患者的危险因素和预后的相关知识。

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