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A multicenter, retrospective clinical study was carried out in the medical records management system of 6 hospitals in Tianjin. Patients who were suffered with Coronary heart disease angina pectoris and underwent coronary angiography are collected. The investigators collect and analyze the demographics, laboratory information, clinical outcome data, and coronary angiographic data of patients. To explore the correlation between hypercholesterolemia and the degree of coronary artery stenosis of Coronary heart disease angina pectoris, and to further research the influence of hypertension on total cholesterol level and coronary artery stenosis, and provide guidance for clinical prevention and treatment.
Based on the total cholesterol level, the investigators divided patients into 3 groups: patients with TC < 5.18 mmol/l belong to normal TC (NTC) group, 5.18 ≤ TC < 6.19 mmol/l is borderline-high TC (BHTC) group, those with TC ≥6.19 mmol/l belong to high TC (HTC) group, and the correlation between the TC and the degree of coronary artery stenosis is evaluated. With or without hypertension will be further stratified to assess the effect of with or without hypertension on the correlation between TC levels and the degree of coronary artery stenosis. The 6 subgroups are: NTC/-HTN group, NTC/+HTN group, BHTC/-HTN group, BHTC/+HTN group, HTC/-HTN group, HTC/+HTN group.
The investigators refer to the recent diagnostic guidelines for coronary heart disease angina pectoris at home and abroad. The diagnosis can be given if it meets any one or more of the following:
The investigators will redefined hypertension as systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg according to the recently published 2017 ACC/AHA guidelines.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NTC/-HTN group | Patients with TC < 5.18 mmol/l, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg belong to normal TC/ none hypertension(NTC/-HTN) group. | ||
| NTC/+HTN group | Patients with TC < 5.18 mmol/l, systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg belong to normal TC/ hypertension(NTC/+HTN) group. | ||
| BHTC/-HTN group | Patients whose TC is 5.18 ≤ TC < 6.19 mmol/l, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg belong to borderline-high TC/ none hypertension (BHTC/-HTN) group. | ||
| BHTC/+HTN group | Patients whose TC is 5.18 ≤ TC < 6.19 mmol/l, systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg belong to borderline-high TC/ hypertension (BHTC/+HTN) group. | ||
| HTC/-HTN group | Patients with TC ≥6.19 mmol/l, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg belong to high TC/ none hypertension(HTC/-HTN) group. | ||
| HTC/+HTN group | Patients with TC ≥6.19 mmol/l, systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥ 80 mmHg belong to high TC/ hypertension(HTC/+HTN) group. |
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| Measure | Description | Time Frame |
|---|---|---|
| Fasting blood glucose in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the fasting blood glucose data of the first day of hospitalization of the patients. | one year |
| Glycated hemoglobin in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the glycated hemoglobin data of the first day of hospitalization of the patients. | one year |
| Total cholesterol in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the total cholesterol data of the first day of hospitalization of the patients. | one year |
| Triglyceride in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the triglyceride data of the first day of hospitalization of the patients. | one year |
| Low density lipoprotein cholesterol in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the low density lipoprotein cholesterol data of the first day of hospitalization of the patients. | one year |
| High density lipoprotein cholesterol in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the high density lipoprotein cholesterol data of the first day of hospitalization of the patients. | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the correlation between total cholesterol level and the degree of coronary artery stenosis | Based on the total cholesterol level, the investigators divide patients into 3 groups. According to the location and degree of the lumen stenosis, the score of the degree of each coronary artery stenosis is calculated. | one year |
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Inclusion Criteria:
Exclusion Criteria:
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The collaborative network of Coronary heart disease research medical units formed by the research team includes the First affiliated Hospital of Tianjin University of traditional Chinese Medicine, the Second affiliated Hospital of Tianjin University of traditional Chinese Medicine, Tianjin Nankai Hospital, the affiliated Hospital of Tianjin Institute of traditional Chinese Medicine, Tianjin chest Hospital and Tianjin Medical University General Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chunquan Yu, Dr. | Contact | 8622-59596309 | ycq-4@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin University of Traditional Chinese Medicine | Tianjin | Tianjin Municipality | 300193 | China |
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| C-reactive protein in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the C-reactive protein data of the first day of hospitalization of the patients. | one year |
| Fibrinogen in clinical biochemical tests. | In the hospital medical record management system, the investigators collect the fibrinogen data of the first day of hospitalization of the patients. | one year |
| Coronary angiography data in imaging examination. | In the hospital medical record management system, the investigators collect coronary angiography data of the patient's hospitalization. | one year |
| Age in demographics. | In the hospital medical record management system, the investigators collect the age data of the first day of hospitalization of the patients. | one year |
| Gender in demographics. | In the hospital medical record management system, the investigators collect the gender data of the first day of hospitalization of the patients. | one year |
| Ethnicity in demographics. | In the hospital medical record management system, the investigators collect the ethnicity data of the first day of hospitalization of the patients. | one year |
| Weight in demographics. | In the hospital medical record management system, the investigators collect the weight data of the first day of hospitalization of the patients. | one year |
| Smoking in demographics. | In the hospital medical record management system, the investigators collect the smoking data of the first day of hospitalization of the patients. | one year |
| Medical history in demographics. | In the hospital medical record management system, the investigators collect the medical history data of the first day of hospitalization of the patients. | one year |
| Blood pressure in demographics. | In the hospital medical record management system, the investigators collect the blood pressure data of the first day of hospitalization of the patients. | one year |
| Assess the effect of with or without hypertension on the correlation between total cholesterol level and the degree of coronary artery stenosis |
According to with or without hypertension, the patients are further divided into 6 subgroups. |
| one year |