首次发生急性心肌梗死的非常年轻成年人的临床和血管造影特征：来自印度中部一家三级医疗中心的数据。
Clinical and angiographic profile of very young adults presenting with first acute myocardial infarction: Data from a tertiary care center in Central India.
作者信息
Deshmukh Pradeep P, Singh Mohit M, Deshpande Mukund A, Rajput Atul S
机构信息
Department of Cardiology, Government Medical College and Superspeciality Hospital, Nagpur, Maharashtra, India.
Department of Cardiology, Government Medical College and Superspeciality Hospital, Nagpur, Maharashtra, India.
出版信息
Indian Heart J. 2019 Sep-Oct;71(5):418-421. doi: 10.1016/j.ihj.2019.12.004. Epub 2020 Jan 3.
Abstract
Acute myocardial infarction (AMI) is afflicting young individuals more frequently nowadays. The present study was planned to evaluate the clinical and angiographic profile in adults aged less than 30 years, presenting with first AMI as data from Central India is very scarce. This cross-sectional study included 41 patients of STEMI with a mean age of 27 ± 2.8 years. Risk factors were male gender (95.1%), dyslipidemia (51.2%), tobacco consumption (48.8%), obesity (34.1%), and smoking (29.3%). Anterior wall myocardial infarction (AWMI) was the most common presentation (82.9%) with obstructive CAD noted in 61% cases frequently due to LAD coronary artery involvement (46.4%).
摘要
急性心肌梗死（AMI）如今在年轻人中更为常见。本研究旨在评估年龄小于30岁的首次发生AMI的成年人的临床和血管造影特征，因为印度中部地区的相关数据非常匮乏。这项横断面研究纳入了41例ST段抬高型心肌梗死患者，平均年龄为27±2.8岁。危险因素包括男性（95.1%）、血脂异常（51.2%）、吸烟（48.8%）、肥胖（34.1%）和主动吸烟（29.3%）。前壁心肌梗死（AWMI）是最常见的表现（82.9%），61%的病例存在阻塞性冠状动脉疾病（CAD），常见于左前降支冠状动脉受累（46.4%）。
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