Objective  To analyze the risk factors and characteristics of coronary artery lesion in females of childbearing age with acute myocardial infarction(AMI).

  Methods  A retrospective analysis was performed for 101 middle-aged hospitalized women with AMI, and these patients were divided into childbearing age group(n=41) and non-childbearing age group(n=60) according to whether they were in childbearing age or not. The related influencing factors and clinical indicators of coronary atheroslerotic heart disease in two groups were compared. The risk factors of AMI in women of childbearing age were analyzed, and the results of coronary angiography were compared between the two groups.

  Results  The incidence of gynecological surgery, serum triglyceride (TG) level, body mass index (BMI) in the childbearing age group were higher than those in the non-childbearing age group, and serum low-density lipoprotein (LDL) level was lower than that in the non-childbearing age group(P < 0.05). There was no significant difference in coronary artery disease between two groups (P > 0.05).

  Conclusion  Early screening and prevention should be strengthened for females in childbearing age who have risk factors for coronary heart disease, especially those who are overweight, have elevated serum triglyceride levels, and those who have undergone gynecological surgery to remove the uterus and/or ovaries.