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并非所有的心脏病发作都是平等的:以不同的方式思考年轻人的急性心肌梗死。

Not All Heart Attacks are Created Equal: Thinking Differently About Acute Myocardial Infarction in the Young.

机构信息

Duke University School of Medicine, Durham, North Carolina, US.

Brigham and Women's Hospital, Brookline, Massachusetts, US.

出版信息

Methodist Debakey Cardiovasc J. 2021 Sep 24;17(4):60-67. doi: 10.14797/mdcvj.345. eCollection 2021.

Abstract

Cardiovascular disease, particularly myocardial infarction, remains a major cause of morbidity and mortality among young individuals. Although myocardial infarctions have declined significantly in the general population, this decline has not been uniformly observed in younger cohorts. Young adults often have different risk factors, including a higher burden of tobacco use and substance abuse, and they are less likely to be treated with preventive therapies since they are often categorized as having low risk. This review examines the existing literature on myocardial infarction in young patients, with a focus on risk factors, therapeutic challenges, and opportunities for prevention.

摘要

心血管疾病,特别是心肌梗死,仍然是年轻人发病率和死亡率的主要原因。尽管心肌梗死在一般人群中的发病率显著下降,但这种下降在年轻人群中并未得到一致观察。年轻人通常有不同的风险因素,包括更高的烟草使用和药物滥用负担,并且由于他们通常被归类为低风险,因此他们接受预防治疗的可能性较小。本综述检查了关于年轻患者心肌梗死的现有文献,重点关注风险因素、治疗挑战和预防机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebf3/8588727/4ab1b8d366f3/mdcvj-17-4-345-g1.jpg

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