女性急性心肌梗死的临床特点分析

目的：探讨女性女性心肌梗死的临床特点，以便制定合理的治疗方案。方法对我院心内科自2007年1月至2010年12月间收治的女性心肌梗死45例进行回顾性分析。结果女性发病年龄较男性晚15～20年，发病与季节无关，与停经年龄有关，已停经15～25年出现高峰期，临床症状不典型，气喘、胸闷、上腹痛、肩背痛等共占69％，典型的心绞痛仅占31.1％，合并啰音及心律失常较多，但恶性心律失常较少，10例出现单纯性的高HDL-C血症，说明其对冠心病的保护存在性别差异。梗死部位：广泛前壁、前间壁梗死多于下壁、正后壁多，但无统计学意义，多数侵犯单支血管。结论男女急性心肌梗死存在性别差异。

Clinical characteristics of women with acute myocardial infarction

Objective To study the women female characteristics of myocardial infarction , in order to develop rational treat-ment.Methods From Cardiology from January 2007 to December 2010 were treated 45 cases of female myocardial infarction were retrospectively analyzed.Results The results of women age than men late 15 to 20 years,the incidence and the season has nothing to do with menopause,age-related,have been stopped after 15 to 25 years of peak periods,typical clinical symptoms,wheezing,chest tightness,abdominal pain,shoulder pain,etc.together account for 69%,typical angina,only 31.1%,rales,and cardiac arrhythmias are more consolidated ,but the less malignant arrhythmia ,10 cases of simple high HDL-C viremia,indicating the presence of coronary heart disease rage Sex differences in infarction：extensive anterior ,anteroseptal infarction than inferior ,posterior wall and more ,but no statistical significance ,the majority of violations of single vessel.Conclusion men and women there are gender differences in acute myocardial infarction.