Application value of Qisexingtai hand diagnostic method in diagnosis of coronary artery disease

Liu Qian1, Zhao Zhupei1, Guo Hua2

  • 1Institute for the History of Chinese Medicine and Medical Literature, China Academy of Chinese Medical Sciences, Beijing 100700, China.

Insights

The Qisexingtai hand diagnostic method shows promise for diagnosing coronary artery disease (CAD), demonstrating high accuracy and sensitivity in a multi-center study. This traditional method offers a valuable complementary approach for CAD assessment.

Area of Science:

  • Cardiology
  • Diagnostic Medicine
  • Traditional Chinese Medicine

Background:

  • Coronary artery disease (CAD) poses a significant global health challenge.
  • Accurate and accessible diagnostic methods are crucial for timely intervention.
  • The Qisexingtai hand diagnostic method, rooted in traditional practices, warrants investigation for its clinical utility in CAD detection.

Purpose of the Study:

  • To evaluate the diagnostic efficacy of the Qisexingtai hand diagnostic method for coronary artery disease (CAD).
  • To compare the Qisexingtai method's performance against coronary angiography, the gold standard.

Main Methods:

  • A prospective, multi-center, cross-sectional study involving 326 participants.
  • Participants underwent diagnosis using both the Qisexingtai hand method and coronary angiography.
  • Key performance metrics including sensitivity, specificity, and accuracy were calculated.

Main Results:

  • The Qisexingtai hand diagnostic method achieved a sensitivity of 80.2% and a specificity of 68.7%.
  • The overall accuracy of the Qisexingtai method was 73.3%, with an area under the ROC curve of 0.735.
  • The omission diagnostic rate was 19.8%, and the mistaken diagnostic rate was 31.3%.

Conclusions:

  • The Qisexingtai hand diagnostic method demonstrates considerable accuracy and sensitivity in diagnosing CAD.
  • This traditional diagnostic approach holds potential value as an adjunct tool for CAD assessment.
Abstract

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