The Analysis Of Traditional Chinese Medicine Differentiation And The Clinical Estimation Of Diminutive Right Coronary Artery

Objective Through to the right coronary artery development small (or dysplasia) patients electrocardiogram and echocardiographic data analysis, and of traditional Chinese medicine, the evaluation of right coronary artery development small (or dysplasia) and the clinical significance of the relationship with the type of traditional Chinese medicine.Methods Were retrospectively analyzed from October2010to January2010in our hospital heart confirmed by selective coronary angiography with tiny in the development of right coronary artery of64cases,40cases of simple right coronary artery from the development of the small clinical symptoms and electrocardiogram, echocardiogram is analyzed. For selected patients with syndrome differentiation type at the same time, the simple small discharge diagnosis of right coronary artery development, to explore the clinical characteristic of right coronary artery development of small and the relationship between TCM syndrome type.Results40cases mere right coronary artery development small chest tightness higher incidence of symptoms,72.5%(29/40); And one of ecg ST-t change only4cases; The hospital diagnosis adopted "cardiac neurosis" Chinese medicine to the obstruction of heartache.Conclusion1, the right development of small arteries are more often appear the symptom of chest tightness, but few electrocardiogram ST-t change, in the clinical symptoms but inconsistent electrocardiogram (ecg), should consider to have the right development of small, and should not only with the heart neurosis diagnosis, therefore suggested that clinical use small "right coronary development (or dysplasia) syndrome", to use targeted drug therapy.2, in view of the literature has a tiny right coronary development result in sudden cardiac death, so it is necessary to keep follow-up of patients with this part also.3, traditional Chinese medicine with obstruction of mostly is concerned, its syndrome differentiation "and","blood stasis" for many, it is necessary to adopt promoting blood circulation to remove blood stasis, qi analgesic symptomatic treatment.