Prevention and Treatment of Post-Percutaneous Coronary Intervention Coronary Microvascular Dysfunction from the Perspective of "Deficiency Qi Retention and Stagnation"
10.13288/j.11-2166/r.2025.12.013
- VernacularTitle:从“虚气留滞”防治PCI术后冠状动脉微血管功能障碍
- Author:
Yunze LI
1
;
Huiqi ZONG
1
;
Hongxu LIU
1
;
Mingxuan LI
1
;
Xiang LI
1
Author Information
1. Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing，100010
- Publication Type:Journal Article
- Keywords:
coronary microvascular dysfunction;
percutaneous coronary intervention;
deficiency qi retention and stagnation
- From:
Journal of Traditional Chinese Medicine
2025;66(12):1273-1276
- CountryChina
- Language:Chinese
-
Abstract:
It is believed that "deficiency qi retention and stagnation" is the fundamental pathogenesis of coronary microvascular dysfunction （CMD） after percutaneous coronary intervention （PCI）. Patients often have severe coronary vessel congestion before PCI， leading to emptiness in the heart's collaterals， which results in deficiency of healthy qi， poor movement of blood and body fluids， so the heart collaterals are susceptible to stagnation and stasis，then phlegm and stasis generate； after PCI， it is easy to damage the healthy qi then lead to qi deficiency， causing qi， blood， and body fluids fail to transport， thereby leading to blood stasis and phlegm turbidity retention， generating heat and wind to damage the heart and body. It is proposed that the prevention before PCI should replenish qi and collaterals， expel blood stasis and resolve phlegm， to support "deficient qi" in heart collaterals and prevent "stagnation" after PCI. Postoperative management should focus on replenishing qi and protecting the collaterals， eliminating pathogen and controlling development， so as to avoid exacerbating deficiency and stagnation by damaging healthy qi， and eliminate pathogen and unblock the collaterals to interrupt the pathogenesis， which prevent "retention and stagnation" from changes.
