极年轻成人急性心肌梗死的临床特点及介入治疗
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2010年第4期
- 页码:
- 541-546
- 栏目:
- 临床研究
- 出版日期:
- 2010-06-10
文章信息/Info
- Title:
- Clinical manifestations and interventional treatment of five young adults with acute myocardial infarction
- Author(s):
- GONG Zhi-gang; DING Shi-fang; CHEN Zhi-nan; JIANG Ju-quan
- Department of Cardiology, Wuhan General Hospital of Guangzhou Command, Chinese Area PLA, Wuhan 430070, Hubei Province, China
- 分类号:
- R542.22
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的: 回顾分析极年轻成人急性心肌梗死的临床特点和直接经皮介入治疗的效果。方法: 2007~2008年，因急性心肌梗死入住我科的患者530例，有5例（0.9%）为年龄小于35岁的极年轻成人。我们对其临床特点进行分析，并给予直接经皮冠脉介入治疗。结果： 患者年龄26~35岁，引起急性心肌梗死的罪犯血管中左冠状动脉前降支和回旋支3例，右冠状动脉2例。5例患者手术均获得成功，均无并发症发生，随访半年均无不良心脏事件发生。结论： 对极年轻成人急性心肌梗死进行直接经皮冠脉介入治疗是安全有效的。
- Abstract:
- AIM: The effectiveness of direct percutaneous coronary intervention (PCI) for young adults (<35 years) and their clinical characteristics and estimated outcome has been limited. In this report we retrospectively evaluated the effectiveness of direct PCI for very young adults with acute myocardial infarction (AMI) and estimated their clinical characteristics and outcome. METHODS: Of the 530 patients with AMI, five were 35 years old or younger (0.9%) and were studied during a 1-year period (2007-2008). The usefulness of PCI in these five consecutive patients with a first AMI was assessed. RESULTS: Five AMI patients ranging in age from 26 to 35 years underwent direct PCI for the culprit lesions. The lesions targeted for PCI were located in the left anterior descending artery and left circumflex artery in three patients and in the right coronary artery in two patients. In all patients, PCI was angiographically effective at the acute phase without complication. Six-month postoperative follow-up revealed no major adverse cardiac event. CONCLUSION: Direct PCI for young adults with AMI is safe and effective.
参考文献/References
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备注/Memo
- 备注/Memo:
- 收稿日期：2009-04-26.作者简介：龚志刚，副主任医师，硕士Email:gongyuxuan2004@yahoo.com.cn
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