Research On The Correlation Between The Constitution Of Traditional Chinese Medicine And The Onset Of Acute Myocardial Infarction And The Characteristics Of Coronary Artery Disease

Purpose: This study intends to explore the constitution types,lifestyle characteristics,traditional Chinese medicine(TCM)syndromes,and the relationship between constitution types and TCM syndromes,and further explore whether a certain constitution may be a high risk factor for AMI,and the impact of constitution on AMI TCM syndromes.Furthermore,identify high-risk groups of AMI from traditional risk factors or healthy people.At the same time,preliminary exploration of the correlation between TCM constitution and coronary artery lesions.And providing new ideas for primary prevention of AMI from the perspective of population in TCM,and a theoretical basis for the reference physical factors in the clinical practice of TCM and the more accurate differentiation and treatment of AMI.Material and method: A single-center,retrospective analysis method was used to treat inpatients or outpatients who were admitted to the Department of Cardiology of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine.And 128 patients with AMI were established as case group,and 129 patients with comparable non-AMI,non-coronary heart disease angina pectoris(group matching,that is,the traditional risk factors such as hypertension,hyperlipemia,obesity,and diabetes were not statistically different between the two groups.)were not statistically different in the two groups.Selecting TCM constitution,lifestyle,TCM syndrome,characteristics of coronary lesions,etc.,to study the common constitution types,unhealthy lifestyles and syndrome types of acute myocardial infarction.Study on the relationship between AMI and constitution type,the relationship between AMI and unhealthy lifestyle,and the correlation between AMI constitution and syndrome type of AMI.And the correlation between TCM constitution,TCM syndrome type and the severity of coronary artery disease,involving the number of vascular sites.Results: 1.The frequency of spleen deficiency,phlegm dampness and Qi stagnation was higher in both groups.The occurrence of AMI was closely related to the constitution.Spleen deficiency and phlegm-dampness may be important factors influencing the occurrence of AMI.2.People over 40 years old with spleen deficiency,phlegm-dampness,and Qi stagnation have a higher risk of AMI than those with moderate quality.The risk of AMI may be lower in middle-aged and middle-aged people under 60 years of age.Men with spleen deficiency,phlegm and stagnation are more susceptible to AMI than women.3.Unhealthy lifestyle is related to the formation of physique.Edible greasy is related to the formation of phlegm and dampness.Tension anxiety is related to the formation of Qi stagnation.Smoking and drinking are related to the formation of damp heat.Smoking and greasy food are related to the formation of spleen.4.The occurrence of AMI is closely related to unhealthy lifestyle.Edible greasy food,salty diet,plain smoking,nervous anxiety,lack of sleep,etc.may be factors influencing the development of AMI.5.The common TCM syndromes of AMI are phlegm and blood stasis syndrome,Qi deficiency and blood stasis syndrome,and Qi stagnation and blood stasis syndrome.There is a close relationship between physique and syndrome in patients with AMI.The phlegm dampness and damp heat quality are related to the formation of phlegm stagnation syndrome;Yin deficiency is related to the formation of Qi and Yin deficiency syndrome;Qi stagnation,Yin deficiency and Qi stagnation and blood stasis syndrome is related.6.The severity of coronary lesions in patients with spleen deficiency may be milder,and the proportion of single-vessel disease in spleen deficiency is higher than other constitutions.7.There was no significant correlation between TCM constitution and the involvement of coronary artery lesions.8.There was no significant correlation between TCM syndrome types and the involvement,number and severity of coronary lesions.Conclusion: 1.The common TCM constitution of AMI is spleen deficiency,Qi stagnation and phlegm dampness.The spleen deficiency and phlegm dampness may be the physical factors that have an important impact on the occurrence of AMI.2.The common TCM syndromes of AMI are phlegm and blood stasis syndrome,Qi and Yin deficiency syndrome,Qi deficiency and blood stasis syndrome.3.There is a close relationship between physical fitness and syndromes in patients with AMI.Physique is an important factor affecting the development of AMI.4.Unhealthy lifestyles such as greasy eating,smoking,and lack of sleep have an important impact on the occurrence of AMI.