Study On The Relationship Between TCM Syndrome Of Coronary Heart Disease With Stable Angina Pectoris And ABI And BaPWV

Objective:Through detecting the arterial elasticity index of ankle brachial index(ABI)and brachial ankle pulse wave velocity(BaPWV)in patients with coronary heart disease(CHD),combined with the theory of Chinese Medicine,analyse the correlation between ABI and BaPWV and TCM Syndromes of coronary heart disease with stable angina pectoris,to provide new ideas for the prevention and treatment of coronary heart disease,meanwhile,Influencing factors of ABI and BaPWV were analyzed,to provide a new direction for early detection and intervention of peripheral arterial disease and prevention of cardiovascular events.Methods:120 patients with stable angina pectoris of coronary heart disease(CHD)were selected in this study.The age ranged from 45 to 75 years old.Among them,there were male patients and female patients with a total of 56 patients.The ratio of male to female was about 1.14:1.After signing the informed consent,in accordance with the unified questionnaire,in the form of questionnaire,collect each patient diagnostic data and general situation.Diagnostic data including: symptoms,tongue,pulse,induced TCM syndrome type.General conditions including : gender,age,smoking history,family history of cardiovascular disease,past history,height and weight(calculated body mass index BMI),systolic blood pressure and diastolic blood pressure(calculated pulse pressure),total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL-C),high density lipoprotein(HDL-C),fasting blood glucose(GLU).Using type II automatic arteriosclerosis detector BP-203 RPE Japan Colin company(VP-1000),collected BaPWV and ABI datas.Results:(1)This study included four syndromes of coronary heart disease with stable angina patients,four syndromes the proportion is as follows: syndrome of phlegm blocking heart vessel,accounting for 31.67%;Qi and yin deficiency syndrome,accounting for 25.83%;blood stasis syndrome,accounted for 22.5%;Yang Qi deficiency syndrome,accounting for 20%.Among them,phlegm blocking heart vesselwhich accounting for the highest proportion of revenue;the four syndromes of phlegm blocking heart vessel syndrome and Qi Yin deficiency,blood stasis syndrome,Yang Qi deficiency syndrome group,the proportion of men and women were 1:1.38,1.21:1,1.45:1,1.67:1.(2)Comparison of various types of groups in general: stable angina pectoris syndrome of phlegm blocking heart vessel in patients with BMI was significantly higher than that of blood stasis syndrome,Qi and Yin deficiency,Yang deficiency syndrome in two patients,systolic blood pressure and diastolic blood pressure,pulse pressure,TC,TG,LDL-C,HDL-C of the four groups were no statistically significant difference.(3)Stable angina pectoris syndrome of phlegm blocking heart vessel in patients with ABI values lower than Qi and yin deficiency syndrome,blood stasis syndrome,Yang deficiency syndrome,the difference was statistically significant(P<0.05);the baPWV value of patients with stable angina pectoris of coronary heart disease was higher than that of the other three groups,the difference was statistically significant(P<0.05).(4)The main influencing factors of ABI were gender and TG,TG was negatively correlated with ABI.(5)The main influencing factors of baPWV were age and systolic blood pressure,and both of them were positively correlated with baPWV.Conclusion : Stable angina pectoris syndrome of phlegm blocking heart vessel in patients with ABI is lower than that of blood stasis syndrome,Qi and Yin deficiency,Yang deficiency syndrome in two patients,and the baPWV value is higher than the other three groups of syndromes patients;Patients with stable angina pectoris of coronary heart disease patients with BMI were higher than those in the other three groups;The main influencing factors of ABI were gender and TG,TG was negatively correlated with ABI;The main influencing factors of baPWV were age and systolic blood pressure,and both of them were positively correlated with baPWV;TG and systolic blood pressure are controllable factors,and gender,age is not controllable factors.