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[年轻人中的心肌梗死]

[Myocardial infarct in young persons].

作者信息

Kaz'mina P V, Nikiforova A N, Solov'ev V V, Galochkina N G

出版信息

Kardiologiia. 1977 May;17(5):91-5.

PMID:886760
Abstract

A study of 106 patients with myocardial infarction, aged under 40 demonstrated a predominance of males (90.5%) with prevailing marco-focal and transmural myocardial infarctions. In 88 patients (83%) risk-factors of ischaemic heart disease were found: arterial hypertension, hypercholesterolemia, heavy smoking, excessive weight, sedentary life. The severity of the course of myocardial infarction is directly related to the presence of risk factors in the patient. Studies of the content of immunoglobulins in 15 patients revealed an immunologic hyperrectivity in young patients with myocardial infarction when they developed complications. Autopsy data of 5 mortality cases demonstrated atherosclerotic lesions of the coronary arteries in all of them.

摘要

一项针对106名40岁以下心肌梗死患者的研究表明,男性占主导(90.5%),主要为大片状和透壁性心肌梗死。在88名患者(83%)中发现了缺血性心脏病的危险因素:动脉高血压、高胆固醇血症、大量吸烟、超重、久坐不动的生活方式。心肌梗死病程的严重程度与患者是否存在危险因素直接相关。对15名患者免疫球蛋白含量的研究显示,年轻心肌梗死患者发生并发症时存在免疫反应亢进。5例死亡病例的尸检数据表明,所有病例均有冠状动脉粥样硬化病变。

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