Characters of coronary disease in young female with coronary heart disease and the treatment analysis
10.13699/j.cnki.1001-6821.2014.10.023
- VernacularTitle:青年女性冠心病患者冠状动脉病变特点及治疗分析
- Author:
Hai-Hua ZHANG
1
;
Ai-Min DANG
;
Li-Jian GAO
;
Yun ZHANG
;
Yue-Jin YANG
Author Information
1. 北京协和医学院 中国医学科学院 阜外心血管病医院 心内科
- Keywords:
young female;
coronary artery disease;
medication therapy
- From:
The Chinese Journal of Clinical Pharmacology
2014;(10):946-948
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the characters of coronary disease and treatment in young female with cornary heart disease .Methods Coronary angiography (CAG) results of young female patients with coronary disease (≤40 years old) were analyzed.They were divided into zero /one -vessel group and multi -vessel group according to CAG, and their clinical mani-festations, risk factors and treatment were compared between the two groups.Results Seventy -eight patients were enrolled.One -vessel lesion was the most common in CAG (43.6%).Clinical manifestations were basically similar in zero /one -vessel group and multi -vessel group:angina was the most common symptom in both groups ( 61.0% vs 64.9%), and the second common was myocardial infarction (29.3% vs 40.5%).Traditional risk factors were accompanied , such as hyperlipemia (63.4% vs 83.8%).Diabetes and hyperlipemia were more common in multi -vessel group than those in zero /one -vessel group (29.7% vs 7.3% and 83.8% vs 63.4%,P <0.05).Diabetes was an independent risk factor of multi -vessel lesions.Higher proportion of PCI in multi -vessel lesions and a higher proportion of single drug therapy in zero /one -vessel group were observed. Conclusion Zero/one vessel coronary lesions were common diseases in young females , in whom traditional risk factors also play an important role.