Journal of Traditional Chinese Medicine >
Application value of Qisexingtai hand diagnostic method in diagnosis of coronary artery disease
Received date: 2022-02-11
Accepted date: 2022-06-13
Online published: 2022-09-02
Supported by
National Key R&D Program of China-Study on Operating Principles of Screening, Evaluation, Promotion and Application for Diagnosis and Treatment Technology of Characteristic Folk Traditional Chinese Medicine(2019YFC1708400)
OBJECTIVE: To evaluate the diagnostic efficacy of Qisexingtai hand diagnostic method in the diagnosis of coronary artery disease (CAD).
METHODS: This was an investigator-initiated, prospective, multi-center, cross-sectional study. All the participants from three hospitals in China had been diagnosed by both Qisexingtai hand diagnostic method and coronary angiography. We compared the two diagnostic methods to calculate the sensitivity, the specificity, the omission diagnostic rate, the mistaken diagnostic rate and accuracy in order to evaluate the diagnostic efficacy of Qisexingtai hand diagnostic method for CAD.
RESULTS: A total of 326 subjects were enrolled, diagnosed by both Qisexingtai hand diagnostic method and coronary angiography. As a result, there were 166 positive cases according to Qisexingtai hand diagnostic method, and 131 positive cases according to coronary angiography. Compared with the results of coronary angiography, the sensitivity of Qisexingtai hand dia-gnostic method was 80.2%, the specificity was 68.7%, the omission diagnostic rate was 19.8%, the mistaken diagnostic rate was 31.3%, and the accuracy was 73.3%. Area under the receiver operating characteristic curve was estimated as 0.735 for all, and 0.718, 0.735, 0.783 for the three sub-centers.
CONCLUSION: Qisexingtai hand diagnostic method with high accuracy and sensitivity has certain application value in the diagnosis of CAD.
Key words: hand diagnosis; coronary artery disease; diagnostic tests; routine; Qisexingtai
Qian LIU , Zhupei ZHAO , Hua GUO , Shiheng WANG , Mingzhao HAO , Peijie QIN , Liuqing WANG , Xuechun LIU , Fengxia ZHANG , Hong AN , Yu LI , Xueqin SHI , Tingyu ZHU , Jianfeng LIU , Liying WANG , Tao XU , Limei ZHANG , Xu ZOU . Application value of Qisexingtai hand diagnostic method in diagnosis of coronary artery disease[J]. Journal of Traditional Chinese Medicine, 2022 , 42(5) : 833 -838 . DOI: 10.19852/j.cnki.jtcm.2022.05.011
| 1. | Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: a report of the American college of cardiology/American heart association joint committee on clinical practice guidelines. Circulation 2022; 145: e18-114. |
| 2. | The writing committee of the report on cardiovascular health and diseases in China. Report on cardiovascular health and diseases burden in China: an updated summary of 2020. Zhong Guo Xun Huan Za Zhi 2021; 36: 521-45. |
| 3. | Liu JF. The essence of Qisexingtai hand diagnostic method. Beijing: China science and technology press 1991; 01. |
| 4. | Liu JF, Yu Q. Study on blood content in specific area of front paw of rats. Zhong Guo Zhong Yi Ji Chu Yi Xue Za Zhi 2008; 14: 670-1. |
| 5. | Wang T, Yu Q, Liu JF. Research on EB content change in the blood of specific front paw part of rat with lung injury. Zhong Guo Yi Yao Dao Bao 2013; 10: 21-3. |
| 6. | Qin PJ, Wang LQ, Cheng ZL, Di Y, Liu JF. Research of blood content in the forepaw different regions and melanin content of particular part in acute gastric mucosa injury rats. Zhong Guo Yi Yao Dao Bao 2015; 12: 4-6. |
| 7. | Qin PJ, Wang LQ, Cheng ZL, Di Y, Liu JF. Research on the ghrelin-POMC pathway of blood melanin change in different areas of forepaw in rats with irritable ulcer. Zhong Guo Yi Yao Dao Bao 2016; 13: 12-4. |
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