重庆医学Issue(30)：3999-4001,3.DOI:10.3969/j.issn.1671-8348.2014.30.006
女性吸毒人群急性心肌梗死患者的临床和冠状动脉病变特点
Clinical and coronary characteristics of women drug abuse patient with acute myocardial infarction
秦孺子 1李军 2吴金辉3
作者信息
- 1. 武警广东总队医院司法病区，广州510000
- 2. 武警广东总队医院急诊科，广州510000
- 3. 广州市天河区卫生局 510000
- 折叠
摘要
Abstract
Objective To study the clinical and coronary characteristics of drug abuse women patients with acute myocardial in-farction .Methods Data of 70 women patients ,who were diagnosed with acute myocardial infarction(AMI)and underwent emergent coronary angiography in department of jurisdiction ,Guangdong Provincial Corps Hospital ,Chinese People′s Armed Police Force from January 2006 to July 2012 ,were analyzed .Results 66 of 70 were ST-segment elevated myocardial infarction ,4 were non-ST-segment elevated myocardial infarction ;67 of 70 were obstructive lesion ,underwent percutaneous coronary intervention .With the drug abuse time prolonging ,the combining risk factors increased ,the occurrence rate of AMI increased(P<0 .05) .Data of coronary angiography showed that the culprit vessels of most AMI patients with different drug abuse time were single vessel lesion ,which was significantly higher than the rate of three vessel and main stem .the most common culprit vessel was the left anterior descending artery ,followed by the right coronary artery and left circumflex artery lesion .three vessel and main stem lesion were short in pa-tients of drug abuse time <5 years ,with the prolonging of drug abuse time ,three vessel and main stem lesion increased .There was 1 death example in prison and 5 re-admission fore agnia during the follow-up .Conclusion Most AMI in drug abuse women patients with acute myocardial infarction is STEMI .Single vessel and obstructive lesion is the most common .The most common culprit ves-sel was the left anterior descending artery .Most female patients were complicated with congenital coronary malformation or autoim-mune disease .With the prolonging of drug abuse time and increasing of combining risk factors ,the rate of AMI increases .关键词
心肌梗死/血管成形术/经皮冠状动脉/吸毒Key words
myocardial infarction/angioplasty/percutaneous coronary artery/drug abuse分类
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秦孺子,李军,吴金辉..女性吸毒人群急性心肌梗死患者的临床和冠状动脉病变特点[J].重庆医学,2014,(30):3999-4001,3.
