Traditional Chinese Medicine for Acute Myocardial Infarction in Western Medicine Hospitals in China

Acute myocardial infarction (AMI) is one of the most serious and dangerous cardiovascular diseases. In recent years, the number of patients around the world has been increasing significantly, among which people under the age of 45 have become the high-risk group for sudden death of AMI. AMI occurs quickly and does not show obvious symptoms before onset. In addition, postonset clinical testing is also a complex and invasive test, which may cause some postoperative complications. Therefore, it is necessary to propose a noninvasive and convenient auxiliary diagnostic method. In traditional Chinese medicine (TCM), it is an effective auxiliary diagnostic strategy to complete the disease diagnosis through some body surface features. It is helpful to observe whether the palmar thenar undergoes hypertrophy and whether the metacarpophalangeal joint is swelling in detecting acute myocardial infarction. Combined with deep learning, we propose a depth model based on traditional palm image (MTIALM), which can help doctors of traditional Chinese medicine to predict myocardial infarction. By building the shared network, the model learns information that covers all the tasks. In addition, task-specific attention branch networks are built to simultaneously detect the symptoms of different parts of the palm. The information interaction module (IIM) is proposed to further integrate the information between task branches to ensure that the model learns as many features as possible. Experimental results show that the accuracy of our model in the detection of metacarpophalangeal joints and palmar thenar is 83.16% and 84.15%, respectively, which are significantly improved compared with the traditional classification methods.

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Study on the clinical assessment of integrated rehabilitation of Traditional Chinese Medicine and western medication for acute myocardial infarction

Medicine ◽

10.1097/md.0000000000021592 ◽

2020 ◽

Vol 99 (34) ◽

pp. e21592

Author(s):

Zhiqiang Zhao ◽

Xianliang Wang ◽

Shuai Wang ◽

Ruijuan Zhou ◽

Yu Liu ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Clinical Assessment

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Efficacy of Traditional Chinese Medicine in patients with acute myocardial infarction suffering from diabetes mellitus

Journal of Traditional Chinese Medicine ◽

10.1016/s0254-6272(18)30632-0 ◽

2018 ◽

Vol 38 (3) ◽

pp. 412-418

Author(s):

Dai Guohua ◽

Gao Wulin ◽

Bi Dongxue ◽

Liu Chunhua ◽

Liu Yuhan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Chinese Medicine ◽

Traditional Chinese Medicine

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Traditional Chinese Medicine Intervenes Ventricular Remodeling Following Acute Myocardial Infarction: Evidence From 40 Random Controlled Trials With 3,659 Subjects

Frontiers in Pharmacology ◽

10.3389/fphar.2021.707394 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xiao-Xiao Zhang ◽

Bo Liang ◽

Chang-Le Shao ◽

Ning Gu

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Chinese Medicine ◽

Western Medicine ◽

Ventricular Remodeling ◽

Left Ventricular ◽

Volume Index ◽

Systolic Volume ◽

End Diastolic Volume ◽

End Systolic Volume

Objectives: We intend to conduct a meta-analysis on the systematic evaluation of traditional Chinese medicine (TCM) in the treatment of ventricular remodeling following acute myocardial infarction (AMI). Our findings may provide certain references for the clinical treatment of ventricular remodeling.Methods: A systematic literature search was conducted in PubMed, Web of Science, Cochrane Library, Embase, CNKI, Wanfang Data, CQVIP, and CBM before 20 July 2020. Data were analyzed using a random/fixed-effect model. Primary outcomes included the effectiveness and TCM syndrome score (TCMSS). Secondary outcomes included 1) echocardiography data, including the left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic volume index (LVEDVi), left ventricular end-systolic volume index (LVESVi), left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV), interventricular septum thickness (IVST), left ventricular posterior wall thickness (LVPWT), left ventricular ejection fraction (LVEF), E/A, stroke volume (SV), and wall motion score (WMS); 2) serum indicators, including the B-type natriuretic peptide (BNP) or N-terminal pro-B-type natriuretic peptide (NT-proBNP), and C-reactive protein (CRP) or high sensitivity CRP (hs-CRP); (3) major adverse cardiovascular events (MACE) and other adverse eventsResults: Forty RCTs involving 3,659 subjects were recruited. Our findings proved that a combination of TCM or TCM preparations with conventional Western medicine for preventing and reversing ventricular remodeling at post-AMI could remarkably enhance the total effectiveness and reduced TCMSS. Moreover, myocardial functions (LVEF, E/A, and SV), ventricular remodeling (LVEDVi, LVESVi, LVEDV, LVESV, LVEDD, LVESD, LVPWT, and WMS), serum levels of BNP and CRP, and MACE were significantly improved by the combination of TCM or TCM preparations with conventional Western medicine. Nevertheless, IVST and the incidence of other adverse events were comparable between control and experimental groupsConclusion: The combination of TCM or TCM preparations and conventional Western medicine can alleviate the process of ventricular remodeling, enhance cardiac function, and reduce the incidence of MACE in AMI patients.

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