山西医科大学学报2012，Vol.43Issue(7)：506-508,3.DOI:10.3969/J.ISSN.1007-6611.2012.07.007
老年与非老年急性心肌梗死危险因素及临床特点分析
Risk factors and clinical features of acute myocardial infarction in elderly and non-elderly patients
吴浩杰 1于少娟 1葛兴利 1苏金虎2
作者信息
- 1. 西安市第一医院心内科,西安710002
- 2. 兰州军区机关门诊部
- 折叠
摘要
Abstract
Objective To explore the difference of risk factors and clinical features of acute myocardial infarction(AMI) between elderly and non-elderly patients. Methods A total of 312 AMI inpatients were divided into 2 groups:non-elderly group( <60 years,n = 124)and elderly group(≥60 years,n = 188). The risk factors,clinical features,complications and angiographic data were compared. Results Non-elderly patients were predominantly male(84.7% ). Smoking,family history of coronary heart disease and higher psychological pressure were more frequent in non-elderly group than in elderly group. Non-elderly group had higher triglyceride(TC) level. Hypertension and diabetes mellitus were more prevalent in elderly patients (P < 0.05). Non-elderly patients were more likely to have single-vessel disease (56.1% tis 13.7% ,P <0.05),atypical clinical symptoms,less complications and better prognosis. Elderly patients had a higher prevalence of three-vessel disease(53.4% vs 15.9% ,P <0.05) .atypical clinical symptoms, more complications and higher mortality rate( 13.3% vs 4.0% ,P <0.05). Conclusion The risk factors and clinical features are different between elderly and non-elderly patients with AMI. Valid intervention measures for risk factors and therapy should be taken.关键词
心肌梗死/危险因素/临床特点/老年人Key words
myocardial infarction/ risk factor/ clinical feature/ aged分类
医药卫生引用本文复制引用
吴浩杰,于少娟,葛兴利,苏金虎..老年与非老年急性心肌梗死危险因素及临床特点分析[J].山西医科大学学报,2012,43(7):506-508,3.
