Gist Of Young People Study Coronary Heart Disease

Objective:This study retrospectively observed young (<50years old) and aged (≥65years) CHD patients, to explore the clinical characteristics of the young group. And blood stasis syndrome rules and its effect on angina pectoris and the degree of correlation between blood stasis,the extent and coronary heart disease risk factors.Methods:This study is divided into two parts.It selected216cases in Dongzhimen hospital from2008to2013, aged<50years old or over65years. All of them confirmed by coronary angiography. Then through the clinical observation, I record and capture all the general information, TCM syndrome clinical information before CAG. Observe the clinical characteristics of traditional Chinese medicine, western medicine of this2groups of patients.Through the calculation of97cases of young patients with "Diagnosis Standard of blood stasis syndrome of CHD",and the quantitative analysis of the coronary disease severity,we can judge the correlation between the "Diagnosis Standard of blood stasis syndrome of CHD", and the disease factors, clinical characteristics, pathological degree. The research also combined with the degree of pain and the results of CAG.Results:(1)General description:Compared with the old group, the young group of CHD patients show the following clinical characteristics:the proportion of men is far more than women (9.8:1). The peak of this sample is in the age of46-49years old male. The course is relatively short. The attack of angina pectoris is often having no obvious predisposing factors. Causative factors conies to fatigue, emotional raise, heavy drinking. Angina pectoris comes with long duration, bursting or acute exacerbation, heavy pain and difficult to alleviate. Incidence of myocardial infarction were higher than the older group. Smoking, family history of cardiovascular disease,obesity is the most prominent risk factors. Especially hypertriglyceridemia. Single branch, mostly involving the anterior descending branch (86.1%), is also special.(2) The onset of CHD is related to Mutual and clip of blood stasis, Qi deficiency, phlegm elements. But in the young group, the incidence of CHD patients with blood stasis syndrome, phlegm syndrome is rather higher than old aged group. The distribution have a certain specif icity. And the blood stasis syndrome is the most common one of all,followed by qi deficiency, phlegm turbid syndrome.(3) The calculation of "Diagnosis Standard of blood stasis syndrome of CHD",is well related to the severity of Angina pectoris. Different coronary artery lesions also have different distribution of score. The score of blood stasis in such as obesity, abnormal metabolism of lipid was statistically significant risk factors of CHD,Conclusion:1. Compared to the elderly, young people have the different clinical characteristics and blood stasis syndrome distribution.2. Blood stasis is well related to the angina, degree of coronary artery disease,and risk factors of CHD.