Title: young patients and CAD

题目：年轻病人和冠心病

Author 作者: Amal Mattu

How likely is coronary artery disease to occur in young patients?

冠心病发生在年轻人身上的的可能性？

An autopsy series in US communities evaluated young patients (avg age 36 years old) who died of "non-natural" causes revealed coronary atherosclerosis in > 80% of the autopsy sample, with 8% having significant obstructive disease.

一个美国尸检报告检查了非自然死亡的年轻病人（平均年龄36岁），发现多于80％的尸检样本有冠状动脉硬化，其中8％有严重的阻塞性疾病。

The bottom line is simple....be wary of discounting the risk of ACS purely based on a patient's age. The HPI is the most important factor in predicting ACS.

要点很简单。。。要小心评价年龄在急性冠状动脉综合症发病危险因素中的作用。现病史在预测急性冠状动脉综合症时是最重要的。

References 参考文献

Nemetz PN, et al. Recent trends in the prevalance of coronary disease: a population-based autopsy study of nonnatural deaths. Arch Intern Med 2008;168:264-270.

Arbab-Zadeh A, et al. Acute coronary events. Circulation 2012;125:1147-1156.