Association between varicose veins and constitution of traditional Chinese medicine plus heart-failure-like symptoms.

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Frontiers in Cardiovascular Medicine Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI:10.3389/fcvm.2024.1465843
Cheng-Ken Tsai, Oswald Ndi Nfor, Wen-Yu Lu, Yung-Po Liaw
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Abstract

Background: Varicose veins are a common issue for employees in jobs that require prolonged standing compared with all other employees. However, its relationship with presentations of traditional Chinese medicine constitution is unknown. This study aimed to investigate their association.

Material and methods: Data in the study were obtained from questionnaires of patients in Taiwan Biobank, enrolled from 2008 to 2020. The responses to the statement "I can see distorted blood vessels on my four limbs (varicose veins)." were categorized into none, mild, moderate, severe. and more severe, and the same scale was also used to classify breathing difficulties and hypotension.

Results: A total of 11,293 participants were enrolled in the study. The prevalence of women was higher in the studied group compared with the control. Patients complained of breathing difficulties with moderate (30.49%) and severe discomfort (12.44%) in the diseased group. Regarding hypotension, 28.81% and 9.82% of the patients presented with moderate and severe hypotension, respectively. The cofactor odds ratio was 1.775 for severe breathing difficulty/moderate hypotension and 2.235 for severe breathing difficulty/severe hypotension, with statistical significance. The combined impact of breathing difficulties and hypotension increased with severity.

Conclusions: Varicose veins had a higher association with breathing difficulties and hypotension as the severity of the condition worsened. The combined impact of breathing difficulties and hypotension increased as the disease progressed. Therefore, self-reported assessments can be a useful tool for evaluating patients with asymptomatic varicose veins before the development of "heart-failure-like symptoms" to reduce the risk of underdiagnosis.

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静脉曲张与中药加心衰样症状体质的关系。
背景:与其他所有员工相比,静脉曲张是从事需要长时间站立工作的员工的常见问题。然而,其与传统中医体质的关系尚不清楚。本研究旨在调查两者之间的关系:研究数据来自 2008 年至 2020 年期间登记的台湾生物库患者问卷。对 "我的四肢可以看到扭曲的血管(静脉曲张)"的回答分为无、轻度、中度、重度和更重度,呼吸困难和低血压也采用相同的量表进行分类:结果:共有 11 293 人参加了这项研究。与对照组相比,研究组中女性的比例更高。患者抱怨呼吸困难的比例为中度(30.49%)和重度(12.44%)。在低血压方面,分别有 28.81% 和 9.82% 的患者出现中度和重度低血压。严重呼吸困难/中度低血压的共同因素几率比为 1.775,严重呼吸困难/严重低血压的共同因素几率比为 2.235,具有统计学意义。呼吸困难和低血压的综合影响随着严重程度的增加而增加:结论:静脉曲张与呼吸困难和低血压的关系随着病情的严重程度而加剧。随着病情的发展,呼吸困难和低血压的综合影响也会增加。因此,在出现 "心脏衰竭样症状 "之前,自我报告评估可作为评估无症状静脉曲张患者的有用工具,以降低诊断不足的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Cardiovascular Medicine
Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.80
自引率
11.10%
发文量
3529
审稿时长
14 weeks
期刊介绍: Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.
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