青年与老年急性心肌梗死发病的季节性特征比较

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Abstract Objective To investigate whether there is a seasonal difference in the onset of acute myocardial infarction (AMI) in young patients, compared with older patients. Methods The study group comprised 81 young (aged≤40 years) and 678 older (aged≥50 years) patients with AMI from 2004 to 2008. AMI incidence of the season and the relationship with the event were analyzed by Logistic regression. AMI and the extent of coronary artery disease and coronary heart disease risk factors were analyzed by Pearson's chi-square test. Results In young patients, the prevalence of the onset of AMI events was significantly higher in summer (from June to August) than in winter (from November to March) (odds ratio =4.004, P=0.031). The incidence rate in young women decreased significantly compared with that in elderly group (3.70% vs 35.84%).Vascular lesion alone in the young group was significantly higher than that in the elderly group (48.15% vs 36.99%). Hypertension was found in 44.44%, diabetes in 3.7%, elevated serum TC and TG in 29.63% and 48.15% ,and smoking history in 74.07% of young patients. Conclusions There is a seasonal difference in the onset of AMI events, with an increase in the prevalence during the summer months in young patients.

Received: 08 August 2011

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