Comprehensive Understanding of Internal Stirring of Collateral Wind and Blockade of Heart Vessel Theory of Coronary Heart Disease: Based on 2013 ESC Guideline on Management of Stable Coronary Artery Disease
LI Hongmei, KONG Weiying, SUN Mengqiong, et al. Comprehensive Understanding of Internal Stirring of Collateral Wind and Blockade of Heart Vessel Theory of Coronary Heart Disease: Based on 2013 ESC Guideline on Management of Stable Coronary Artery Disease[J]. Journal of Traditional Chinese Medicine2016, 57(22): 1917-1920.
LI Hongmei, KONG Weiying, SUN Mengqiong, et al. Comprehensive Understanding of Internal Stirring of Collateral Wind and Blockade of Heart Vessel Theory of Coronary Heart Disease: Based on 2013 ESC Guideline on Management of Stable Coronary Artery Disease[J]. Journal of Traditional Chinese Medicine2016, 57(22): 1917-1920.DOI: 10.13288/j.11-2166/r.2016.22.007.
2013 ESC Guideline on Management of Stable Coronary Artery Disease redefined the pathogenesis of stable coronary artery disease( SCAD). The guidelines pointed out that coronary artery microcirculatory disturbance or arteriospasm was an important cause of SCAD. Coronary microcirculation and reperfusion of myocardial cells should be paid close attention. As the mechanism of microvascular dysfunction is not clear so far
many therapies should still be explored
including Chinese medicine. Coronary artery microcirculatory disturbance or arteriospasm is similar to"collaterals dysfunction"in Chinese medicine
with the characteristics of most deficiency
most blood stasis and mostly changeable. Besides
the pathological changes of SCAD is quite like wind syndrome. The authors put forward the internal stirring of collateral wind theory. The authors hold that the blockade of heart vessel is the basic pathogenesis of SCAD and that internal stirring of collateral wind is an important supplement. Blockade of heart vessel and internal stirring of collateral wind interact both as cause and effect and harm the body together. Then acute coronary syndrome and other cardiovascular emergency and severe diseases might be occurred eventually.