Analytical Study Of Risk Factors And TCM Syndrome Features In Patients With Acute Coronary Syndrome After PCI

Objective: To collect and retrospectively study the TCM characteristics of 236 patients with Acute Coronary Syndrome who underwent Percutaneous Coronary Intervention(PCI)for the first time,of which 124 cases were classified into non-STsegment elevation type Acute Coronary Syndrome and 112 cases of ST-segment Elevated Myocardial Infarction,by comparing NSTEACS and STEMI groups,analyze and summarize the TCM syndrome types characteristics,clinical features and risk factors of ACS,and provide theoretical reference and basis for clinical prevention and treatment.Method: A retrospective survey study was conducted by examining the clinical records of236 patients with ACS who were hospitalized and underwent initial PCI at the Fourth Clinical Medical College of Xinjiang Medical University from August 2021 to August2022,and the patients were divided into NSTEACS and STEMI groups according to their clinical diagnosis,and the general information,relevant lipid test results,coronary angiography results(stent placement and The patients’ general data,related lipid test results,coronary angiography results(stent placement and coronary Gensini score),and TCM syndrome characteristics were collected and recorded,and the clinical characteristics,risk factors and TCM syndrome characteristics of ACS patients were summarized using the corresponding statistical methods.Results: 1.236 patients with ACS: a total of 178 males,accounting for 75.42%,and 58 females,accounting for 24.58%,with an overall average age of(59.81±11.50),with an average age of(58.13±11.14)for males and(64.97±11.12)for females;152 Han Chinese and 84 ethnic minorities;There were 124 cases in the NSTEACS group and 112 cases in the STEMI group.2.There was a significant difference in the age of onset between males and females in the NSTEACS group.3.There was a statistically significant difference in the comparison of whether stents were placed and coronary Gensini score between the two groups(P < 0.05).4.There was a difference in the distribution of TCM syndrome types types between the two groups(P < 0.05).5.In the comparison of the number of stenting in the two groups,the number of coronary stenting and coronary Gensini score in the two groups with phlegm and blood stasis syndrome were statistically significant(P < 0.05).6.In the comparison of the risk factors in the two groups with different types of symptoms,GLU,TC,HDL-C,LDL-C,Apo B,Apo E,LVEF in the syndrome of phlegm and blood stasis were statistically significant(P < 0.05);GLU,TC,HDL-C,LDL-C,Apo B,Apo E,LVEF in the syndrome of qi stagnation and qi deficiency.In the analysis of correlation between coronary Gensini score and risk factors in 236 ACS patients with different symptoms,there was a linear correlation between coronary Gensini score and LDL-C in phlegm-stasis syndrome,a linear correlation between coronary Gensini score and Apo B in qi stagnation and blood stasis syndrome,and a linear correlation between coronary Gensini score and Apo B in qiyin deficiency syndrome.There was a linear correlation between coronary Gensini score and age in ACS.Conclusions: 1.The onset of ACS tends to be younger,and the overall incidence is significantly more in males than in females,and the difference between female and male incidence decreases as the observed age increases.2.Patients with NSTEACS have poorer long-term outcomes,and patients with STEMI have more severe symptoms and coronary vascular lesions at the onset.3.The distribution of TCM syndrome types was different between NSTEACS and STEMI,but both had a higher prevalence of phlegm-stasis syndrome and differential risk factors.4.Coronary Gensini score was positively correlated with some risk factors.