Study On The Correlation Between Coronary Artery CTA Plaque Identification And TCM Syndromes Of Chest

Coronary atherosclerotic heart disease (CHD), also known as coronary heart disease, belongs to "thoracic obstruction","obstruction of heartache" of traditional Chinese medicine. These years, cardiovascular disease morbidity and mortality rates continue to rise, has become the first people to death, according to the report, in 2014 estimated the existing 290 million cardiovascular patients. CHD is divided into acute coronary syndrome (ACS) and chronic coronary artery disease (CAD), the ACS is the major cause of acute cardiovascular events. Modern research has found that the occurrence of ACS and atherosclerosis (AS) atherosclerotic,Modern research has found that, the occurrence of ACS depends on plaque stability and hemodynamic factors, so the identification of plaque in the diagnosis and treatment is of great significance for the prevention of ACS happened, to evaluate the risk of CHD (especially ACS) has very high value, should be included in the diagnosis and evaluation system.PurposeThis study combining the Chinese and western medicine understanding of coronary heart disease and coronary atherosclerosis, the identification of plaque and the relationship between TCM syndrome type and explore, in order to looking for a new suit to the diagnosis of coronary artery plaque Chinese and western medicine, provides new ideas for its treatment and more theoretical guidance.Materials and MethodsRetrospective analysis in October 2013-October 2015 in Beijing university of Chinese medicine dongzhimen hospital radiology coronary CTA examination, and the deputy director of the attending physician and above, have caused by coronary stenosis plaque of patients with mild and above degree,131 cases as the research object, and collect the number of plaques in coronary CTA examination results, the nature of the plaques, and the degree of stenosis, calcium score, to collect the patient medical records, according to the four diagnostic information for syndrome differentiation of traditional Chinese medicine classification, identification of coronary CTA plaques and obstruction of the correlation of TCM syndrome types. Using SPSS 18.0 statistical software for analysis of medical statistics.Results1. This study included 131 patients,61 cases of men, who accounted for 46.6%,70 cases of women (53.4%), TCM syndrome type distribution:qi deficiency and blood stasis> qi stagnation and blood stasis> phlegm and blood stasis resistance winding> heart, kidney Yin deficiency> qi and Yin deficiency> yang deficiency,497 incorporated in the analysis of plaque plaques,345 calcified plaque,75mixed plaque,77 soft plaques; 2. The course of the disease and age were positively correlated relationship; 3. The phlegm and blood stasis resistance network card plaque, especially the incidence of calcified plaque is higher than other card type; 4. Moderate narrow-calcified plaque and severe stenosis-calcified plaque in phlegm and blood stasis resistance winding the incidence is higher than other card type; Phlegm and blood stasis resistance network card light, medium and severe stenosis were mainly caused by calcification plaques; Resistance coning qi deficiency, blood stasis, phlegm and blood stasis and qi stagnation and blood stasis and heart, kidney Yin deficiency syndrome caused by mild stenosis plaque in the incidence of calcified plaque above and soft spot; Qi and Yin deficiency, sun be the spirit virtual failure syndromes were not different between the plaque distribution; 5. Light, moderate stenosis is mainly caused by calcification plaques; 6. The course and the total number of patches, the occurrence of calcified plaque and mixed plaques were positively correlated relationship; 7. The degree of calcification were positively correlated with the plaques.Conclusion1.TCM syndrome type distribution:qi deficiency and blood stasis> qi stagnation and blood stasis> phlegm and blood stasis resistance winding> heart and kidney Yin deficiency> qi and Yin deficiency> Yang deficiency; 2.The course of the disease and age were positively correlated relationship; 3.The phlegm and blood stasis resistance network card plaque, especially the incidence of calcified plaque is higher than other card type; 4.The course and the total number of patches, the occurrence of calcified plaque and mixed plaques were positively correlated relationship; 5.The degree of calcification were positively correlated with the plaques.6.Coronary CTA plaques identification and obstruction of TCM syndrome types have certain relevance,more plaques (expecially calcified plaque) happen in phlegm and blood stasis resistance winding group, more soft plaques and mixed plaques than the other groups in qi and Yin deficiency and Yang deficiency,this has certain guiding significance to the understanding of coronary plaques.