Syndrome Differentiation in the Management of Chronic Stable Coronary Artery Disease (SCAD) to Improve Quality
- Conditions
- Chronic Stable Coronary Artery Disease
- Interventions
- Drug: Chinese Herb
- Registration Number
- NCT03018769
- Brief Summary
1.1 To build a TCM diagnosis and treatment database for chronic stable CAD; 1.2 To summarize the pattern of TCM medicine used and the effect of the medication in chronic stable CAD.
1.3 To formulate a syndrome differentiation determined medicine plan based on the improvement in the quality of life on chronic stable CAD patients.
- Detailed Description
Chronic stable coronary artery disease (SCAD) is a general term for all kinds of coronary artery disease (CAD) which includes patients with chronic stable angina, oldmyocardial infarctions and also stable condition after revascularization (i.e percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG)). According to 2012 American Heart Association/American College of Cardiology (AHA/ACC) guide, the objective of the treatment for SCAD is to maintain or recover patients' exercise tolerance, quality of life and avoid complication like heart failure,so as to decrease mortality, eliminate symptoms and avoid adverse reactions.
Traditional Chinese medicine (TCM) has two thousand years of history in managing CAD and has its advantages in improving quality of life. Using scientific method to evaluate, demonstrate and conclude the clinical curative effect of TCM is an extremely important task for both TCM and Chinese and western integrative medicine win the treatment of CAD. Recent researches mainly focus on certain types or some certain pathological and physiological stages of CAD, worse still, different areas experts have their own experiences and opinions with the treatment. There is a lack of unified syndrome differentiation and prescriptions plan for the chronic stable CAD and not enough attention has been paid to TCM despite it having many advantages in improving quality of life in these patients. Considering all the above, this research studied past syndromes research results and real clinical effective chronic SCAD cases. Cases were analysed and explored, effective cases were filtered, syndrome differentiation of the prescriptions was refined, thus build a TCM diagnosis and treatment information database.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 2000
- without age limit
- diagnose as chronic SCAD at first visit
- heart function classification between II~III Canada classification(CCS)
- Be willing to accept Chinese herbal decoction
- sign an informed consent
- suffer from acute myocardial infarction (AMI) ,unstable angina or prior revascularization(i.e PCI,CABG) in the latest 60 days .
- have such diseases as follow: a.poorly controlled blood pressure even taken medicine(systolic pressure≥180mmHg, diastolic pressure≥100mmHg); - severe arrhythmia(atrial fibrillation with rapid ventricular response, atrial flutter, paroxysmal ventricular tachycardia, etc); c.pulmonary heart disease, rheumatic heart disease, myocarditis, cardiomyopathy, aortic dissection, pulmonary embolism.
- hyperthyreosis, cervical spondylosis, gallbladder-cardiac syndrome, gastroesophageal reflux, esophageal hiatal hernia, neurosis, climacteric syndrome and other diseases which would cause chest pain.
- alanine transaminase(ALT) or serum creatinine(Scr) more than twice the normal reference value.
- hemoglobin(Hb)<100g/L or have severe hematological system disease.
- malignant tumor.
- pregnant, lactating women or other women have reproductive requirement.
- psychosis or cognition impairment person.
- taken chinese medicine decoction in recent two weeks.
- not take part in any other clinical trail.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description chronic SCAD Chinese Herb -
- Primary Outcome Measures
Name Time Method ultrasonic cardiogram change from take chinese herb in one week Four diagnostic method of TCM change from take chinese herb in one week EuroQol-5 Dimensions (EQ-5D) change from take chinese herb in one week electrocardiograms(ECG) change from take chinese herb in one week dynamic electrocardiogram change from take chinese herb in one week treadmill exercise testing (TET) change from take chinese herb in one week
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (32)
Beijing Hospital of Traditional Chinese Medicine
🇨🇳Beijing, China
Dongfang Hospital of Beijing University of Chinese Medicine
🇨🇳Beijing, China
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine
🇨🇳Beijing, China
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
🇨🇳Beijing, China
the third Affiliated to Beijing University of Chinese Medicine
🇨🇳Beijing, China
Xiyuan Hospital of China Academy of Chinese Medical Sciences
🇨🇳Beijing, China
Affiliated Hospital of Changchun University of Traditional Chinese Medicine
🇨🇳Changchun, China
Affiliated Hospital of Gansu University of Chinese Medicine
🇨🇳Gansu, China
Guangdong Provincial Hospital of Chinese Medicine
🇨🇳Guangdong, China
The First Affiliated Hospital of Henan University of TCM
🇨🇳Henan, China
Guangdong Second Troditional Chinese Medicine Hospital
🇨🇳Guangdong, China
First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine
🇨🇳Guangzhou, China
Henan Province Hospital of TCM
🇨🇳Henan, China
Affiliated Hospital of Hunan Academy of Chinese Medicine
🇨🇳Hunan, China
Jiangsu Province Hospital of TCM
🇨🇳Jiangsu, China
The Second Affiliated Traditional hospital of Hunan University of Traditional Chinese Medicine
🇨🇳Hunan, China
The First Hospital of Hunan University of Chinese Medicine
🇨🇳Hunan, China
Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
🇨🇳Liaoning, China
Jiangxi Provincial Hospital of Chinese Medicine
🇨🇳Jiangxi, China
The Second Affiliated Hospital of Liaoning University of traditional Chinese Medicine
🇨🇳Liaoning, China
Shanxi Province Hospital of Traditional Chinese Medicine
🇨🇳Shanxi, China
Shanxi Hospital of Traditional Chinese Medicine
🇨🇳Shanxi, China
Shandong Province Hospital of Traditional Chinese Medicine
🇨🇳Shandong, China
The Affiliated Hospital to Shanxi University of Traditional Chinese Medicine
🇨🇳Shanxi, China
The Second Affiliated Hospital of Shanxi University of Traditional Chinese Medcine
🇨🇳Shanxi, China
Shijiazhuang Traditional Chinese Medicine Hospita
🇨🇳Shijiazhuang, China
First Teaching Hospital of Tianjin University of TCM
🇨🇳Tianjin, China
Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital
🇨🇳Tianjin, China
Second Affiliated Hospital of Tianjin University of TCM
🇨🇳Tianjin, China
Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region
🇨🇳Xinjiang, China
The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine
🇨🇳Anhui, China
Heilongjiang Provincial Hospital of traditional Chinese Medicine
🇨🇳Heilongjiang, China