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頁籤選單縮合
題 名 | Disease-Related Differences in Young and Very Young Adults with Acute Myocardial Infarction=年輕及極年輕心肌硬塞患者之臨床特色與差異 |
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作 者 | 黃集仁; 王豐林; 楊坤儒; 徐志怡; 顏大欽; 陳日昌; 褚柏顯; | 書刊名 | 臺灣急診醫學會醫誌 |
卷 期 | 7:4 民94.12 |
頁 次 | 頁209-219 |
分類號 | 415.3161 |
關鍵詞 | 年輕心肌梗塞患者; 危險因子; 冠狀動脈疾病; Young adult; Acute myocardial infarction; Risk factors; Coronary artery disease; |
語 文 | 英文(English) |
中文摘要 | 目的:本研究的目的在於評估年輕之心肌梗塞者在不同年齡層之差異。方法:在1992至2002十年間,我們回溯性的收集了178例小於40歲之(平均年齡36±4歲)心肌梗塞患者,依性別及年齡再分爲男、女,年輕及極年輕組。我們收集了患者之危險因子、治療方式、冠狀動脈阻塞程度、心臟衰竭及有無發生重大併發症之情形進行比較。結果:非常年輕之心肌梗塞患者有較顯著的肥胖(p=0.02),較高的心臟酵素(p=0.03)及較高的低密度膽固醇(p=0.025),女性抽煙及喝酒相對較少,但卻有較高Killip分類(p=0.006),心臟衰竭較常發生在非常年輕之病患。而猝死的比率在女性患者較多。結論:不同性別及年齡層之年輕心肌梗塞患者,在冠狀動脈疾病的危險因子,臨床症狀及預後都有明顯的差異。 |
英文摘要 | Background: Our purpose was to assess clinical differences between genders and age subgroups in young acute myocardial infarction (AMI) patients. Method: We retrospectively studied 178 patients younger than 41 years old (mean age 36±4 years) who had AMI and were admitted between 1992 and 2002. We compared clinical presentation, treatments and outcomes of patients divided into two age subgroups, young (35-40 years) and very young (<35 years), and into different genders. Result: The very young patients showed statistically significant differences when compared to the young patients, including more obesity (p=0.02), higher cardiac troponin I (p=0.03) and higher low density lipoprotein cholesterol (LDL) (p=0.025). Females had a higher Killip classification (p=0.006), despite fewer histories of smoking and drinking (p<0.0001), and lower hemoglobin levels (p=0.00l). Heart failure tended to be more frequent in very young patients and sudden death tended to be more frequent in females. Conclusion: Young patients with coronary disease may exhibit differences in risk factors, in clinical and stenotic coronary seventies, in treatments and in prognosis that depend on age and gender. |
本系統中英文摘要資訊取自各篇刊載內容。