@article {LeppertP6.248作者={米歇尔Leppert和詹姆斯·伯克和乔纳森·坎贝尔和蒂莫西·伯纳德和Stefan Sillau和迈克尔Ho和Sharon泊松},title ={动脉粥样硬化危险因素流行在年轻人中风和急性心肌梗死(P6.248)},体积={90}={15}补充数量,elocation-id = {P6.248} ={2018},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:更好地了解动脉粥样硬化危险因素的作用(ARF)中风与急性心肌梗死(AMI)的年轻人。首页背景:ARF已知会导致中风和老年人AMI。然而,他们在年轻人中风的角色很大程度上是未知的。设计/方法:使用10 \ %随机样本的商业数据库,我们分析了所有新生15岁{\ textendash} 45 2001年至2014年{\ textendash}。ARF包括高血压、高脂血症和糖尿病是由1 2门诊或住院ICD-9索赔。个人申请首次中风或AMI住院被确定。对于中风或AMI患者,ARF前都要求诊断中风或AMI住院。哎呀泊松回归模型是用来计算中风的发病率比或AMI,控制了年龄和性别。结果:370万年的年轻人,3357年首次中风,和3020年首次AMI。整体平均年龄28岁,而首次中风和AMI的平均年龄是37岁至39岁,分别。52 \ %的参与者整体是女性,而55 \ %的中风和40 \ %的AMI组是女性。ARF的总体发病率较低:6.8 \ %为高血压、2.3 \ %糖尿病、高脂血症和6.8 \ %。 The prevalence of all ARF were significantly higher in AMI than stroke (stroke: 53.7\% hypertension, 20.9\% diabetes, 41.1\% hyperlipidemia; AMI: 67.4\% hypertension, 23.1\% diabetes, 70\% hyperlipidemia). Patients with hypertension were 4.9 and 5.9 times more likely to have AMI and stroke, respectively. Similarly, stroke and AMI risk ratios were increased with diabetes (5.0 and 5.8 respectively) and hyperlipidemia (3.1 and 2.8 respectively).Conclusions: ARF are more strongly associated with AMI than stroke. The AMI cohort is older, more male and has a higher prevalence of ARFs. ARF pose a significant risk of strokes and AMI in young adults and aggressive prevention and risk factor management is advised.Study Supported by: American Heart Association, Bugher FoundationDisclosure: Dr. Leppert has nothing to disclose. Dr. Burke has nothing to disclose. Dr. Campbell has nothing to disclose. Dr. Bernard has nothing to disclose. Dr. Sillau has nothing to disclose. Dr. Ho has nothing to disclose. Dr. Leppert has nothing to disclose.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/90/15_Supplement/P6.248}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }