Zingerman L S, Baiurova N V
Kardiologiia. 1984 Feb;24(2):42-4.
Selective coronary angiography was performed and variations of blood serum lipid levels were studied over time in 45 myocardial infarction survivors under 40 years of age. The results showed that the development of myocardial infarction in young individuals is underlied by coronary atherosclerosis. Hyperlipidemia was elicited in a larger proportion of cases as compared to changes on coronary angiograms, since the latter record only marked alterations whereas the initial stage of the active atherosclerotic process is manifested in changed lipid and lipoprotein concentrations in the blood serum in the absence of any changes on coronary angiograms. Functional impairments of the coronary circulation were implicated in the genesis of myocardial infarction only in 17% of the patients.
对45名40岁以下的心肌梗死幸存者进行了选择性冠状动脉造影，并随时间研究了血清脂质水平的变化。结果表明，年轻人心肌梗死的发生是由冠状动脉粥样硬化引起的。与冠状动脉造影的变化相比，高脂血症在更大比例的病例中出现，因为冠状动脉造影仅记录明显的改变，而活跃的动脉粥样硬化过程的初始阶段表现为血清脂质和脂蛋白浓度的变化，而冠状动脉造影无任何改变。仅17%的患者中，冠状动脉循环功能障碍与心肌梗死的发生有关。
