Schweiz Med Wochenschr. 1980 Nov 8;110(45):1631-43.
Young patients under the age of 35 years who had had myocardial infarction or angina and in whom selective coronary angiography had been performed were included in a retrospective study. In these 185 patients the importance of the risk factors could be demonstrated. 80% had been smokers, 50% had been obese, and the percentage of positive family history and of hyperlipidemia was elevated compared with an age-matched control group. Angiography showed predominantly one-vessel disease, the anterior descending branch being affected in 52%. Few complications after AMI were observed and 30% of the group underwent surgery mainly for angina. The operative risk is low due to the youth and generally good general condition of these patients.
35岁以下曾患心肌梗死或心绞痛且已接受选择性冠状动脉造影的年轻患者被纳入一项回顾性研究。在这185名患者中,可以证明危险因素的重要性。80%的患者曾吸烟,50%肥胖,与年龄匹配的对照组相比,家族史阳性和高脂血症的比例有所升高。血管造影显示主要为单支血管病变,前降支受累占52%。急性心肌梗死后观察到的并发症较少,该组30%的患者主要因心绞痛接受手术。由于这些患者年轻且一般状况良好,手术风险较低。