Compared Analysis Of Risk Factors In Men And Women Of Different Ages With Acute Myocardial Infarction

Objective By describing the distribution and aggregation of risk factors in patients with acute myocardial infarction(AMI)for the first time,this paper analyzes whether there are differences in the distribution and aggregation of risk factors in AMI patients of different ages and genders,so as to provide certain basis for prevention and control of AMI in high-risk groups.Methods From January 1,2015 to August 30,2017,clinical data of AMI patients admitted to the Department of Cardiology of TianJin First Central Hospital we re retrospectively collected.Patients' age,gender,long-term heavy smoking and drinking history,previous diabetes,hypertension,early coronary heart disease,plasma total cholesterol,triglycerides,LDL-C,HDL-C and uric acid were recor ded.Patients were divided into four groups according to gender and age to an alyze the distribution and aggregation of risk factors in AMI patients.Results 1.The mean age of AMI onset was 64.99±12.63,62.16±12.77 for males and 71.14±9.85 for females.The majority of AMI patients were male,and only the proportion of male to female in the elderly group was 0.97:1(P<0.05).2.The top three male risk factors for AMI were hyperlipidemia,hypertension and heavy smoking.Female were hyperlipidemia,hypertension and diabetes.The proportion of male patients with combined smoking,drinking,hypertension and early coronary heart disease was higher than female.The proportion of male patients with combined diabetes and hyperuricemia was lower than female(P<0.05).3.Male patients with AMI were mainly combined with three or more risk factors,while female were mainly combined with two or three risk factors.Among AMI patients with only one or no risk factor,8.84% were male and 8.73% were female.4.Male patients with AMI combined with smoking history had the lowest percentage in the elderly group.The percentage of drinking history in the youth and middle-aged group was higher than that in the elder group.The percentage of hypertension in the younger elderly group is higher than that in the young and elder group(P<0.05).5.Risk factors of female patients with AMI differ only in age distribution of hyperuricemia and family history of premature coronary heart disease.The percentage of the middle-aged group with early CHD family history and hyperuricemia was higher than that of the elderly group(P<0.05).6.TG,TC and ldl-c of AMI patients were different in different age groups and genders.Male TG is higher than female and TC,LDL-C and HDL-C were lower.TG,TC and LDL-C of the middle-aged group were higher than that of the elderly group(P<0.05).It is not clear that HDL-C is different in different age groups(P>0.05).Conclusion 1.Male AMI patients with different ages have different distributions in smoking history,drinking history,hypertension,diabetes,and family history of premature coronary heart disease,with hyperlipidemia,hypertension,and heavy smoking occupying the top three positions.There is a difference in the distribution of family history of coronary heart disease and hyperuricemia in female,with hyperlipidemia,hypertension and diabetes occupying the first three positions.2.TG,LDL-C and TC of AMI patients were different in different ages and genders.HDL-C comparison did not indicate differences among age groups.