Correlation Of Thoracic Obstruction’s TCM Syndrome Type With CAG And DTS In Patients With Positve Treadmill Exercise Test

Objective:To investigate the current distribution in Traditional Chinese Medicine(TCM)syndrome type of thoracic obstruction’s patients with positive Treadmill Exercise Test(TET),and explore the correlation of TCM syndrome type with Coronary Angiography(CAG)and Duke Treadmill Score(DTS).To provide a reference for the diagnosis and treatment of thoracic obstruction.Methods:1.160 cases with positive TET and CAG were selected,as well as the data of traditional Chinese four diagnosis methods,Gensini score and DTS.2.Grouped the 160 cases according to the results of CAG and DTS.3.Analysis the current distribution of TCM syndrome type in 160 patients,and analysis the correlation of TCM syndrome type with CAG and DTS.Results:1.160 cases were selected.There were 131 Coronary Heart Disease(CHD)patients,16 Coronary Arteriosclerosis(CAS)patients and 24 Myocardial Bridge(MB)patients.2.The major TCM syndrome types were Blood Stasis(BS),Phlegm-turbid(PH)and Qi Deficiency(QD).In CAS group that formed mainly on excess syndrome,there were 6 BS patients(37.50%),7 PH patients(43.75%)and 3 Qi Stagnation(QS)patients(18.75%).In CHD group,the type of BS(69.47%),PH(54.96%)and QD(56.99%)had higher proportion,and the type of deficiency complicated with excess had 93 cases(70.99%).In the combinations of all forms of the syndrome,there were 17 patients(12.98%)had been diagnosed with the syndrome type of Phlegm-turbid complicated with Blood Stasis(PHBS).In MB group,there were 3 BS patients(23.08%),4 PH patients(30.77%),and 6 QS patients(46.15%).3.There was significant difference between each CAG’s group in DTS(F=36.46,P<0.05).The DTS(-5.33±8.29)of CHD group was significant lower than other groups,and the difference of the rest group was not statistically significant(P>0.05).4.In CHD group,there was significant difference between each excess syndrome in DTS(F=8.08,P<0.05).The DTS of the type of Cold Coagulation complicated with BS(CCBS)was significantly lower than PH,BS and the type of QS complicated with BS(QSBS)(P<0.05).The DTS of PHBS and BS was significantly lower than PH and QSBS(P<0.05).The DTS of CCBS(-12.05±6.77)was the lowest.There was significant difference between each deficiency syndrome in DTS(F=3.61,P<0.05).The DTS of the type of QD complicated with Yin Deficiency(QDYD)was significantly lower than Yin Deficiency(YD)and Yang Deficiency(YaD)(P<0.05),the DTS of QD was significantly lower than YD(P<0.05).The DTS of QDYD(-10.33±8.74)was the lowest.In CHD group,the DTS of BS(6.85±0.84)was higher than PH(8.96±0.57)and QS(10.05±0.04)(P<0.05).In MB group,the DTS of QS(9.18±1.24)was higher than BS(5.80±0.57)and PH(5.91±0.95)(P<0.05).5.There was significant difference between each Gensini group in DTS(x2 =81.97,P<0.05).There was a significant correlation between DTS with Gensini score(r=-0.98,P<0.05).The regression equation:Y(DTS)=14.526-0.581X(Gensini score).Conclusion:1.TET has a reference value in the diagnosis of CHD.2.There was a significant correlation between DTS with Gensini score.DTS could be a reflection to the degree of coronary artery lesions.3.The major TCM syndrome types of the CHD group were BS,PH and QD.The major TCM syndrome types of CAS group were BS and PH,and the major TCM syndrome types of the MB group were QS.CAS and MB all formed mainly on excess syndrome.4.The proportion of PH and BS increased with the degree of cervical lesions,and the TCM syndrome types was more complex.