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[Research on relationship between coronary lesion and blood stasis syndrome based on coronary angiography]
Jie Wang1, Qing-yong He, Chang-sheng Ma
1Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing.
Insights
Blood stasis (BS) syndrome is linked to more severe coronary lesions in coronary heart disease (CHD) patients. The yang-deficiency subtype of BS syndrome showed a strong correlation with severe coronary constriction.
Area of Science:
- Cardiology
- Traditional Chinese Medicine
- Medical Diagnostics
Background:
- Coronary heart disease (CHD) poses a significant global health burden.
- Blood stasis (BS) syndrome is a concept in traditional Chinese medicine often associated with cardiovascular conditions.
- Understanding the relationship between BS syndrome and coronary atherosclerosis is crucial for comprehensive patient management.
Purpose of the Study:
- To investigate the association between blood stasis (BS) syndrome and the characteristics of coronary artery lesions in patients diagnosed with coronary heart disease (CHD).
- To analyze the correlation between specific BS syndrome subtypes and the severity and extent of coronary lesions.
Main Methods:
- A cohort of 500 patients with confirmed CHD via coronary angiography were enrolled.
- Patients were classified based on traditional Chinese medicine syndrome differentiation, specifically identifying BS syndrome and its subtypes.
- Statistical analysis was performed to compare coronary lesion parameters (number of affected branches, degree of constriction) between BS syndrome and non-BS syndrome groups, as well as among different BS subtypes.
Main Results:
- Patients with BS syndrome exhibited a significantly higher number of affected coronary branches (2.28 vs. 2.07) and more severe coronary lesions compared to non-BS syndrome patients.
- The yang-deficiency subtype of BS syndrome was associated with the highest number of affected branches (2.58) and a higher prevalence of severe or moderate coronary constriction.
- A significant correlation was observed between the yang-deficiency BS subtype and severe coronary constriction (correlation distance 0.1899).
Conclusions:
- A significant relationship exists between blood stasis (BS) syndrome and the extent and severity of coronary lesions in patients with coronary heart disease (CHD).
- The yang-deficiency subtype of BS syndrome is particularly associated with more extensive and severe coronary artery disease.
- These findings support the integration of BS syndrome assessment in the evaluation and management of CHD.
Objective:
To explore the relationship between blood stasis (BS) syndrome and coronary lesion in patients with coronary heart disease (CHD).
Methods:
Syndrome types of 500 patients collected from multiple centers whose diagnosis of CHD confirmed by coronary angiography were differentiated. And the relationship between BS syndrome, its subtypes, and coronary lesion (affected branches, degree of constriction) were analyzed.
Results:
The affected branches of coronary artery in patients of BS syndrome was 2.28 +/- 0.28, while that in the non-BS syndrome patients was 2.07 +/- 0.86, showing significant difference between them (P < 0.05); as compared to patients of non-BS syndrome, the coronary lesions in patients of BS syndrome were mostly multi-vascular, and of more severe degree (P < 0.05). In patients of various BS syndrome subtypes, the average number of affected coronary branches in patients of yang-deficiency subtype was 2.58 +/- 0.65, which was significantly more than the number in patients of other BS syndrome subtypes. The constriction degree of coronary lesions in patients of yang-deficiency BS syndrome subtype were mostly severe or moderate, and single branch lesion was rarely seen, as compared with those in patients of phlegm-stasis obstruction subtype, the difference was significant (P < 0.05). The corresponding correlative analysis showed that close correlation was found between yang-deficiency subtype of BS syndrome and severe coronary constriction with the correlation distance of 0.1899.
Conclusion:
Relationship between BS syndrome and coronary lesion (its number of branches and degree of constriction) truly exists to a certain extent.
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