Correlation Between Electrocardiogram And Coronary Angiography In Acute Myocardial Infarction And Its Correlation With TCM Syndromes

Purpose:(ECG)and coronary angiography(CAG)in patients with acute myocardial infarction(AMI)were retrospectively analyzed.The correlation between coronary angiography and electrocardiogram and TCM syndromes were observed and compared.(STEMI)and non-ST-segment elevation myocardial infarction(NSTEMI)in patients with acute myocardial infarction and acute myocardial infarction(ECG),and to understand the characteristics of ECG and coronary arteries in patients with acute myocardial infarction.for reference.In the case of emergency CAG can not be used,can use ECG and limited clinical data,as soon as possible to accurately identify AMI,and then determine the infarct location and range,predict the infarct-related blood vessels,to determine the prognosis,the correct formulation of clinical decision-making for patients with dialectical classification,The use of traditional Chinese medicine to improve the patient’s near and long-term prognosis.Method:(1)collected from January 1,2015-December 1,2016 in our hospital cardiology treatment area diagnosed with acute myocardial infarction in patients with cases(both received ECG and coronary angiography two examinations).The electrocardiogram and coronary angiography were compared and analyzed.(2)to study the relationship between changes in patients with ECG and vascular lesions(.3)summarize the different TCM syndromes of AMI and coronary angiography results of the correlation.Collected data required after the summary,the use of spssl7.0 software for statistical analysis,the data is a two-way unordered series of data,count data using chi-square test.Result:(1)acute myocardial infarction in the age of 50 to 59 years old,60 to 69 years old between the high incidence,and its incidence before the age of 70 with age increased significantly increased trend.(2)100 cases of acute myocardial infarction patients with TCM syndrome differentiation,including 35 cases of phlegm blood stasis syndrome,blood stasis syndrome in 15 cases,Qi and Yin Deficiency,blood stasis syndrome in 40 cases,qi deficiency syndrome 10 example.(3)CAG results in 22 cases of single-vessel disease,double-vessel disease in 31 cases,47 cases of multi-vessel disease;vascular stenosis: mild in 21 cases,moderate in 23 cases,severe 47 cases(4)acute ST-segment elevation There were 15 cases(22.1%)of single vessel disease with myocardial infarction,21 cases(30.9%)of doublevessel disease,32 cases(47.1%)of multivessel disease,13 cases(19.1%)with mild stenosis and 15 cases of moderate stenosis(21.8%),10 cases(31.3%)with double vessel disease,15 cases of multiple vascular disease(15.9%),severe coronary artery disease 46.0%)were mildly narrow in 8 cases(25.0%),moderate stenosis in 8 cases(25.0%)and severe stenosis in 16cases(50.0%).There was no significant difference between the two groups in the number of coronary arteries The incidence of multiple vascular disease.(5)aVR lead ST segment elevation of 0.26 mV or so,28 cases of single vessels with mild stenosis,and elevated range decreased to 0.13 mV or so,there are 10 cases of three lesions of severe stenosis;simple vascular lesions and coronary stenosis can cause aVR lead ST segment elevation ≥ 0.05 mV,its location characteristics are not significant.(6)The four TCM syndromes of acute myocardial infarction did not have significant statistical difference in the degree of coronary stenosis,but there was significant difference(P<0.05)in the number of coronary artery lesions;phlegm blood stasis syndrome,Qi and Yin(blood)deficiency,blood stasis in the three lesions in the proportion was significantly higher than other syndromes.(7)There is no correlation between the syndromes and the degree of vascular stenosis and the number of diseased vessels.Conclusion: AMI patients with coronary angiography lesions and ECG and TCM syndromes have a great relevance to the use of ECG changes in the characteristics of patients and patients with clinical symptoms as soon as possible to identify AMI,and determine the vascular infarction,the TCM syndrome differentiation,Early treatment,the timely rescue of patients with life has important clinical significance.