广东医学2012，Vol.33Issue(23)：3556-3559,4.
不同性别中青年冠心病患者危险因素及冠脉病变的特点
Comparison of major risk factors and coronary artery lesion between female and male patients with premature coronary artery disease
摘要
Abstract
Objective To investigate the differences of major risk factors and coronary artery lesion between female and male coronary artery disease ( CAD) patients in young and middle aged ( ≤55years). Methods A total of 238 consecutive young and middle aged CAD patients who underwent coronary angiography at our hospital (170 men and 68 women) were included. The suspected coronary risk factors, including family history of CAD, hypercholesterolaemia, dia-betes mellitus, hypertension and cigarette smoking, were recorded. Clinical presentation and angiographic findings were also recorded. Results The most common risk factor was cigarette smoking in male young and middle aged CAD patients (62. 4% ) , which was significantly higher than that in females (2. 9% , P 〈 0. 001). However, the major coronary risk factors in females were hypertension and diabetes mellitus, both significantly higher than those in males ( P 〈 0. 05 ). There was no significant difference in hypercholesterolaemia or family hislory of CAD between the two groups. For coronary artery lesion, the left anterior descending artery was the mosl vulnerable one in the both groups. Conclusion The coronary risk faclor profile is different between female and male young and middle age CAD patients, suggesting gender - based management and risk factor modification for premature CAD.关键词
中青年/冠心病/危险因素/性别Key words
coronary artery disease/ young and middle age/ risk factors/ gender引用本文复制引用
黄裕立,胡允兆,吴焱贤,杨友,黎文生,陈盈文,陈玉映..不同性别中青年冠心病患者危险因素及冠脉病变的特点[J].广东医学,2012,33(23):3556-3559,4.基金项目
广东省社会发展领域科技计划项目(编号:93102),广东省医学科研基金资助项目(编号:B2011310,B2012663),广东省佛山市科技发展专项资金项目(编号:2009025,2011AA100473),广东省佛山市医学类攻关项目(编号:201208210) （编号:93102）
