关于年轻人心肌梗塞的研究:风险因素分析
M A Habib1, F Ahamed, M A Hasan
1Dr Md Ahsan Habib, Assistant Professor, Department of Medicine, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh.
Mymensingh medical journal : MMJ
|July 1, 2023
概括
年轻的南亚人患有早期冠心病 (CHD) 的比例很高. 在患有急性心肌梗塞 (MI) 的年轻患者中,吸烟是主要的危险因素,其次是家族病史和失脂症.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 冠心病 (CHD) 由于患病率和死亡率高,对医疗保健系统产生重大影响.
- 南亚人群表现出较高的发病率和早期的冠心病发病.
- 在40岁及以下的个体中,早发性心肌梗塞 (MI) 有灾难性的后果.
研究的目的:
- 为了确定患有急性心肌梗塞 (MI) 的年轻患者 (≤40岁) 风险因素的频率.
- 确定早期发作的缺血性心脏病 (IHD) 的关键贡献者,以有针对性的促进健康.
主要方法:
- 在孟加拉国拉吉沙希医疗学院医院冠状动脉护理部门进行的一项描述性观察性研究.
- 包括2011年1月至6月期间被诊断患有急性心肌梗塞的61名患者.
- 使用弗雷明汉姆风险评分系统和实验室调查评估患者病史,症状和危险因素.
主要成果:
- 患者的平均年龄为36±3.7岁,其中大多数是男性.
- 吸烟是最常见的风险因素 (73.8%),其次是家族病史 (44.3%).
- 其他显著的危险因素包括脂质不良 (39.35%),高血压 (37.7%),肥胖 (11.5%) 和糖尿病 (8.2%).
结论:
- 吸烟,家族心脏病史和脂质失调是年轻人急性心肌梗塞的最常见危险因素.
- 大多数患有心脏病发作的年轻患者具有两种或更多可识别的先前风险因素.
- 识别这些风险因素对于制定早期心血管疾病的有效预防和健康促进策略至关重要.
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