Risk factors analysis and nursing strategies of coronary heart disease among young people
10.3760/j.issn.1674-2907.2015.09.017
- VernacularTitle:青年冠心病患者患病原因分析与护理
- Author:
Ruidong YANG
1
;
Yayu FENG
;
Chiming ZHANG
;
Yaqun YU
Author Information
1. 100853 北京，解放军总医院心血管外科
- Keywords:
Coronary heart disease;
Risk factors;
Young people;
Nursing care
- From:
Chinese Journal of Modern Nursing
2015;21(9):1040-1043
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of young patients with coronary heart disease ( CHD) , and the differences between the young patients and the elderly patients to provide a reference for the prevention of early CHD. Methods We retrospectively analyzed 437 cases of patients who came our hospital and had coronary artery bypass surgery from May 2009 to May 2012. The age of young people was less than 45 years wold patients (51 cases), and elderly patients (age greater than or equal to 65 years of age) were 386 cases. We compared and analyzed the indicators of the family history, lipid profile, blood glucose, blood pressure, heart function, postoperative infections, liver and kidney function, postoperative complications, between two groups of patients. Results Compared with the older patients, there were differences on the positive family history, smoking, obesity, dyslipidemia, cardiac function, angina classification, blood sugar, complications in young group (P<0. 05). Acute myocardial infarction was 33. 3% in young people, but it was 18. 1% in elderly patients (χ2 =2. 15,P<0. 05), old myocardial infarction was 7. 8% in young people, but it was 20. 7% in elderly patients (χ2 =2. 16,P<0. 05). Conclusions The major risk factors for CHD of young men are family history, smoking, being overweight, low HDL, high blood pressure, and the young patients would recovery faster than older patients after surgery. Early surgical treatment could prevent the occurrence of CHD and delay the progress.
