A Comparative Study of Risk Factors and Prognosis in Young and Elderly Patients with Acute ST-Segment Elevation Myocardial Infarction
作者机构：Clinical Medical College of Dali UniversityDali 671003China Kunming Medical UniversityKunming 650032China 920^(th)Hospital of Joint Logistic Support Force of PLAKunming 650032China
出 版 物：《Journal of Clinical and Nursing Research》 (临床护理研究（英文）)
年 卷 期：2024年第8卷第6期
页 面：266-275页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Science and Technology Project of Department of Science and Technology of Yunnan Province(Project No.:202102AY070001-030) The Talent Training Fund of the Joint Logistics Support Force(Project No.:20220105) Science and Technology Project of the 920^(th) Hospital of the Joint Logistics Support Force(Project No.:2020YGD11)
主 题：Acute ST-segment elevation myocardial infarction Young people Elderly people Risk factors
摘 要：Objective:To investigate the differences in risk factors and prognosis between young and elderly patients with acute ST-segment elevation myocardial infarction(STEMI)so as to provide a basis for the prevention of young patients with acute ***:Patients initially diagnosed with STEMI in the 920Hospital of Joint Logistic Support Force of PLA from January 1,2018 to December 31,2022 were retrospectively enrolled in this study.A total of 235 STEMI patients aged≤45 years old and 532 STEMI patients aged≥65 years old were *** baseline characteristics,laboratory indicators,clinical characteristics,coronary angiography,SYNTAX score and major adverse cardiovascular events(MACE)during 1-year follow-up were analyzed and ***:A total of 767 STEMI patients were enrolled,including 235 in the young group and 532 in the elderly *** the STEM patients in the young group,224 cases were male,and smoking and drinking were *** with the elderly group,the young group had shorter hospital stays and more family history of ischemic heart disease(IHD).The level of low-density lipoprotein in the young group was higher than that in the old group,while the level of high-density lipoprotein in the young group was lower than that in the old *** level of high uric acid and homocysteine in the young group was significantly higher than that in the old *** main cause of STEMI in the young group was fatigue,and the most common symptom was angina *** angiography showed that single vessel disease was more common in the young group than in the elderly group,and the lesion in the young group was the left anterior descending *** SYNTAX score was significantly lower in the young group than in the elderly group according to the anatomical characteristics of coronary artery *** the forest plot,diabetes mellitus and a family history of IHD showed a trend of major adverse cardiovascular events(MACE)in both ***:M
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