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  shanghai group
    Methods Clinical data and laboratory parameters of 172 AMI cases in the Ninth People′s Hospital of Shanghai (Shanghai group) and 152 AMI cases in the First People′s Hospital in Aksu district of Xinjiang autonomous region (Aksu group) were retrospectively analyzed. The clinical characteristics of acute myocardial infarction and the risk factors of CAD between Shanghai and Xinjiang areas were analyzed.
    方法回顾性对比分析172例上海九院AMI住院患者(上海组)和152例新疆阿克苏地区第一人民医院AMI住院患者(阿克苏组)的临床资料和实验室指标,分析其临床特点和冠心病危险因素的聚集情况。
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    Results The patients in Aksu group suffered AMI 11 years earlier than those of the Shanghai group [(58.4±10.6) years vs (69.1±10.6) years,P=0.000].
    结果阿克苏组患者AMI发病年龄比上海组患者提早近11年,分别为(58.4±10.6)岁和(69.1±10.6)岁(P=0.000);
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    The numbers of risk factors per people were fewer in Aksu group than those in Shanghai group[ (1.6±0.9) vs.(1.9±1.0),P=0.008].
    阿克苏组患者人均危险因子数量低于上海组患者,分别为(1.6±0.9)个和(1.9±1.0)个(P=0.008);
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  shanghai group
Tian-ge Zhuang is the elder statesman of the Shanghai group and will serve as the Conference cochair for EMBC 2005.
      


Objective To compare the clinical characteristics of acute myocardial infarction and the risk factors of coronary artery disease (CAD) between Shanghai and Xinjiang areas so as to explore the regional characteristics of AMI in CAD patients.Methods Clinical data and laboratory parameters of 172 AMI cases in the Ninth People′s Hospital of Shanghai (Shanghai group) and 152 AMI cases in the First People′s Hospital in Aksu district of Xinjiang autonomous region (Aksu group) were retrospectively analyzed.The clinical...

Objective To compare the clinical characteristics of acute myocardial infarction and the risk factors of coronary artery disease (CAD) between Shanghai and Xinjiang areas so as to explore the regional characteristics of AMI in CAD patients.Methods Clinical data and laboratory parameters of 172 AMI cases in the Ninth People′s Hospital of Shanghai (Shanghai group) and 152 AMI cases in the First People′s Hospital in Aksu district of Xinjiang autonomous region (Aksu group) were retrospectively analyzed.The clinical characteristics of acute myocardial infarction and the risk factors of CAD between Shanghai and Xinjiang areas were analyzed.Results The patients in Aksu group suffered AMI 11 years earlier than those of the Shanghai group [(58.4±10.6) years vs (69.1±10.6) years,P=0.000].In Aksu group the Uyghur patients suffered AMI 4 years earlier than the Han people in the same area [(57.0±10.5) years vs.(60.5±10.3) years,P=0.041].The numbers of risk factors per people were fewer in Aksu group than those in Shanghai group[ (1.6±0.9) vs.(1.9±1.0),P=0.008].The patients suffering dyslipidemia were more in Aksu group than in Shanghai group (P=0.006) while the patients with hypertension,smoking and type 2 diabetes were fewer in Aksu group than in Shanghai group (P<0.01 for each).In both groups,smoking was more common and the levels of serum triglycerides(TG) and TG/high density lipoprotein cholesterol(HDL C) ratio were much higher in younger patients (<60 years old) than in the elderly patients (≥60 years old)(P<0.01 for each).TG level in Aksu group was significantly higher than that in Shanghai group [(2.07±1.13) mmol/L vs.(1.51±0.93) mmol/L ,P=0.000].Relatively fewer patients received emergent or delayed PCI in Aksu group than that in Shanghai group (16.6% vs.37.8%,P=0.000),but the percentage of the patients who received thrombolysis was higher in Aksu group than in Shanghai group (31.7% vs.19.4%,P=0.020).The incidence of hospitalized severe complications (67.5% vs.63.4%,P=0.482) and mortality ( 8.6% vs.14.0%, P=0.161 ) were not significantly different in both groups.Conclusion The AMI cases of Aksu district are much younger than those in Shanghai area and the numbers of risk factors per people are much fewer,while the percentage of dyslipidemia characterized by elevated TG is higher and the percentage of hypertension,smoking,type 2 diabetes,and receiving PCI are lower,but the hospitalized complications and fatality is similar in both groups.

目的比较沪、疆两地急性心肌梗死(AMI)在临床特点和冠心病危险因素方面的异同,探索冠心病AMI的地域特点。方法回顾性对比分析172例上海九院AMI住院患者(上海组)和152例新疆阿克苏地区第一人民医院AMI住院患者(阿克苏组)的临床资料和实验室指标,分析其临床特点和冠心病危险因素的聚集情况。结果阿克苏组患者AMI发病年龄比上海组患者提早近11年,分别为(58.4±10.6)岁和(69.1±10.6)岁(P=0.000);维吾尔族患者发病年龄又比当地汉族患者提早近4年,分别为(57.0±10.5)岁和(60.5±10.3)岁(P=0.041);阿克苏组患者人均危险因子数量低于上海组患者,分别为(1.6±0.9)个和(1.9±1.0)个(P=0.008);其中脂质代谢紊乱者比率前者明显高于后者(P=0.006),而高血压、吸烟和2型糖尿病的比率则明显低于后者(均为P<0.01);在两组中,中、青年患者(<60岁)吸烟比率、血清甘油三酯(TG)绝对水平以及TG/HDL C比值均明显高于同组老年患者(≥60岁,均为P<0.01);阿克苏组患者血清TG水平明显高于上海组患...

目的比较沪、疆两地急性心肌梗死(AMI)在临床特点和冠心病危险因素方面的异同,探索冠心病AMI的地域特点。方法回顾性对比分析172例上海九院AMI住院患者(上海组)和152例新疆阿克苏地区第一人民医院AMI住院患者(阿克苏组)的临床资料和实验室指标,分析其临床特点和冠心病危险因素的聚集情况。结果阿克苏组患者AMI发病年龄比上海组患者提早近11年,分别为(58.4±10.6)岁和(69.1±10.6)岁(P=0.000);维吾尔族患者发病年龄又比当地汉族患者提早近4年,分别为(57.0±10.5)岁和(60.5±10.3)岁(P=0.041);阿克苏组患者人均危险因子数量低于上海组患者,分别为(1.6±0.9)个和(1.9±1.0)个(P=0.008);其中脂质代谢紊乱者比率前者明显高于后者(P=0.006),而高血压、吸烟和2型糖尿病的比率则明显低于后者(均为P<0.01);在两组中,中、青年患者(<60岁)吸烟比率、血清甘油三酯(TG)绝对水平以及TG/HDL C比值均明显高于同组老年患者(≥60岁,均为P<0.01);阿克苏组患者血清TG水平明显高于上海组患者,分别为(2.07±1.13)mmol/L和(1.51±0.93)mmol/L(P=0.000),前者接受急诊或择期冠状动脉介入治疗(PCI)者的比例明显低于后者(16.6%对37.8%,P=0.000),而接受经静脉溶栓治疗者的比例明显高于后者(31.7%对19.4%,P=0.020),两组患者住院期严重并发症发生率相近(67.5%对63.4%,P=0.482),住院期病死率差异不明显(8.6%对14.0%,P=0.161)。结论与上海地区的AMI患者相比,新疆阿克苏地区AMI患者发病年龄较小,人均危险因子数量偏少,以TG升高为主的脂质代谢紊乱比率较高,高血压、吸烟和2型糖尿病的比率较低,接受PCI的比率偏低,但在住院期间严重并发症发生率和病死率方面接近。

 
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