Study On Tcm Syndromes Of Tachyarrhythmia Triggered By Long-cycle-short-cycle-phenomena

Object ivesBy observing the relationship between TCM syndrome types of tachyarrhythmia triggered by long-cycle-short-cycle-phenomena and personal history(smoking history,drinking history),BMI,basic diseases,blood lipids,left atrial diameter,left ventricular end diastolic diameter and left ventricular ejection fraction,it provides objective basis for TCM treatment of tachyarrhythmia in clinical practice and reduces the risk of malignant arrhythmia triggered by long-cycle-short-cycle-phenomena.MethodsCollect the medical records of patients who met the criteria for inclusion and exclusion from November 2018 to November 2020,and conduct dialectical grouping of Chinese medicine to collect the data of blood lipids(TC,TG,HDL-C,LDL-C),echocardiographic indexes(LAD,LVEDD,LVEF),and frequency of tachyarrhythmia triggered by long-cycle-short-cyclephenomena.Statistical software was used to analyze the data,and the correlation between different TCM syndrome types and various indicators of tachyarrhythmia triggered bylong-cycle-short-cycle-phenomena was obtained.Results1.The percentage of heart-blood stagnation in TCM syndromes oftachyarrhythmia triggered by long-cycle-short-cycle-phenomena was 32.2,phlegm-fire disturbing the heart was 30.6,Qi-Yin deficiency was 22.2,heart-yang deficiency was 15.0.2.There were statistically significant differences between TCM syndrome type and gender,smoking history and BMI of tachyarrhythmia triggered by long-cycle-short-cycle-phenomena phenomena(P<0.05).There were no significant differences between TCM syndromes and age,drinking history of tachycardia triggered by long-cycle-shortcycle-phenomena(P>0.05).3.The TCM syndromes oftachyarrhythmia triggered bylong-cycle-shortcycle-phenomena had statistical difference with coronary heart disease and diabetes mellitus(coronary heart disease:P<0.01,diabetes mellitus:P<0.05),and had no statistical difference with hypertension and dyslipidemia(P>0.05).4.There were statistically significant differences between TCM syndro me type and TC,LDL-C and LVEF of tachyarrhythmia triggered by long-cycle-short-cycle-phenomena phenomena(P<0.05).The levels of TC and LDL-C in patients with heart-yang deficiency were significantly higher than those in the other three groups,and the level of LVEF in patients with heartyang deficiency was lower than that in the other syndromes.5.There were no significant differences between TCM syndromes and TG,HDL-C,LAD,LVEDD of tachycardia triggered by long-cycle-shortcycle-phenomena(P>0.05).6.The incidence of long-cycle-short-cycle-phenomena in the TCM syndro mes of tachycardia were:Qi-Yin deficiency(57.0%),heart-blood stagnatio n(42.7%),heart-yang deficiency(29.2%),and phlegm-fire disturbing the heart(13.0%).ConclusionThe main syndromes of TCM in patients with tachyarrhythmia triggered by long-cycle-short-cycle-phenomena were heart-blood stagnation and phlegmfire disturbing the heart,and the TCM syndromes were correlated with gender,smoking history,drinking history,coronary heart disease,diabetes mellitus,TC,LDL-C and LVEF.In clinical practice,grasping personal history,the basic diseases,blood lipids and cardiac ultrasonography of patients can provide some reference for TCM syndrome differentiation treatment.At the same time,in the process of clinical treatment,close attention should be paid to long-cycle-short-cycle-phenomena,timely intervention should be taken to reduce the occurrence of tachyarrhythmia triggered by long-cycle-shortcycle-phenomena,and improve the prognosis of patients.