Study On Syndrome Element Of Diastolic Heart Failure

Objective:Study on syndrome element of Diastolic Heart Failure To Explore the syndrome element of DHF, analysis its TCM Syndrome types, provide ideas and help in the clinical diagnosis and treatment.Methods:Use of syndrome element differentiation, collected141cases of syndrome element of patients with diastolic heart failure and analysis correlation, studies correlation on the NT-proBNP.Results:1. The study included141patients with diastolic heart failure patients, female60cases, male81cases, the minimum age is44years, the maximum age is90years old. Primary disease is high blood pressure, coronary heart disease, diabetes, hyperlipidemia.2. The most common symptoms of the patients are:chest tightness (97.9%), dizziness (89.4%), fatigue (82.3%), palpitations (70.9%), asthma (65.2%), greasy tongue (58.9%).3. the results of the analysis of disease location elements, related to the disease location is nine, from more to less in order for the heart, kidney, lung, liver, gall bladder, spleen, stomach, bones, skin, related to the disease nature syndrome factor of16, in order from largest to smallest deficiency, yang, sputum, wet deficiency, blood stasis, qi stagnation, blood deficiency, heat, water stop, Yang Kang, drink evil, moving blood,cold air pocket, moving wind.4. Spearman correlation coefficient analysis results show:the heart and kidney, yang, qi, phlegm, heat, blood stasis (P<0.05), but because we subject the basis syndromes of DHF, so removed the syndrome elements "kidney". So the types of syndrome in patients with diastolic heart failure:deficiency syndromes include qi deficiency of heart syndrome and Yang deficiency of heart. Excess syndromes include the phlegm obstruction heart pulse, heart Fire hyperactivity, blood stasis of heart puls.5. Syndrome element combination of the disease is the most common the6syndrome types (35cases,24.8%), followed by a combination of5syndrome types (21cases,14.5%) and4syndrome types (21cases,14.5%).6. NT-proBNP analysis:the DHF group of NT-proBNP and cardiac syndrome elements integral, by ROC curve analysis recommendations will be NT-proBNP81pg/ml as the cut-off point of the diagnosis of diastolic heart failure.Conclusion:1.The most common symptoms of diastolic heart failure four diagnostic chest tightness, dizziness, fatigue, palpitations, shortness of breath, greasy tongue coating.2.Diastolic heart failure disease location in the heart, and kidney, yang, qi, phlegm, heat, blood stasis known as closely related, can be composed of heart deficiency syndromes include qi deficiency of heart syndrome and Yang deficiency of heart. Excess syndromes include the phlegm obstruction heart pulse, heart Fire hyperactivity, blood stasis of heart puls.3. The DHF group of NT-proBNP with heart syndrome elements integral correlation. on the ROC curve of statistical methods to the NT-proBNP to diagnose diastolic heart failure cut-off point is set to81pg/ml.