PMID- 26919833 OWN - NLM STAT- Publisher DA - 20160227 LR - 20160228 IS - 1672-0415 (Electronic) IS - 1672-0415 (Linking) DP - 2016 Feb 26 TI - Comparison of aspirin and Naoxintong Capsule () with adjusted-dose warfarin in elderly patients with high-risk of non-valvular atrial fibrillation and genetic variants of vitamin K epoxide reductase. AB - OBJECTIVE: To compared the therapeutic effect of a Chinese patent medicine Naoxintong Capsule (, NXT) and aspirin with adjusted-dose warfarin in Chinese elderly patients (over 65 years) with nonvalvular atrial fibrillation (NVAF) and genetic variants of vitamin K epoxide reductase (VKORC1), who are at high-risk of thromboembolism. METHODS: A total of 151 patients, with NVAF and AA genotype of VKORC1-1639 (a sensitive genotype to warfarin) and a CHA2DS2-VASc clinical risk score of 2 or above, were chosen for this study. Patients were randomized into two groups and orally treated with a combination of aspirin (100 mg/day) and NXT (1.6 g thrice a day) or adjusted-dose warfarin [international normalized ratio 2.0-3.0). The primary end points including ischemic stroke and death as well as the secondary end points including hemorrhage events were followed up for at least 1 year. RESULTS: Baseline clinical data and the rates of primary end points were similar between groups. However, the rate of serious bleeding (secondary event) in the combination therapy group was lower than that in the adjusted-dose warfarin group (0% vs. 7.9%, odds ratio: 0.921, 95% confidence interval: 0.862-0.984, P=0.028). CONCLUSIONS: Aspirin combined with NXT and warfarin displayed comparable rates of primary end point including ischemic stroke and all-cause death during the 1-year follow-up. However, as compared with warfarin, the combination therapy reduced the rate of serious bleeding. Therefore, aspirin combined with NXT might provide an alternative pharmacotherapy in preventing ischemic stroke for elderly patients with NAVF who cannot tolerate warfarin. (No. ChiCTR-TRC-13003596). FAU - Wang, Huan AU - Wang H AD - Department of Internal Medicine, Fujian Provincial Cardiovascular Disease Institute, Provincial Clinical College of Fujian Medical University, Fuzhou, 350001, China. FAU - Zhou, Xiao-Kai AU - Zhou XK AD - Cardiovascular Internal Medicine, Quzhou People's Hospital of Zhejiang Province, Quzhou, Zhejiang Province, 324000, China. FAU - Zheng, Li-Fan AU - Zheng LF AD - Cardiovascular Internal Medicine, the Affiliated Hospital in Putian College of Fujian Province, Putian, Fujian Province, 351100, China. FAU - Wu, Xiao-Ying AU - Wu XY AD - Department of Internal Medicine, Fujian Provincial Cardiovascular Disease Institute, Provincial Clinical College of Fujian Medical University, Fuzhou, 350001, China. FAU - Chen, Hui AU - Chen H AD - Department of Internal Medicine, Fujian Provincial Cardiovascular Disease Institute, Provincial Clinical College of Fujian Medical University, Fuzhou, 350001, China. chenhuiwyd@sina.com. LA - ENG PT - JOURNAL ARTICLE DEP - 20160226 TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 OTO - NOTNLM OT - Chinese medicine OT - alternative medicine OT - antithrombotic therapy OT - aspirin combined with Naoxintong OT - atrial fibrillation OT - genetic variants OT - warfarin EDAT- 2016/02/28 06:00 MHDA- 2016/02/28 06:00 CRDT- 2016/02/28 06:00 PHST- 2015/03/18 [received] PHST- 2016/02/26 [aheadofprint] AID - 10.1007/s11655-015-2443-4 [doi] AID - 10.1007/s11655-015-2443-4 [pii] PST - aheadofprint SO - Chin J Integr Med. 2016 Feb 26. PMID- 26074982 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20150615 DCOM- 20150615 LR - 20150617 IS - 1741-427X (Print) IS - 1741-427X (Linking) VI - 2015 DP - 2015 TI - Wenxin Keli versus Sotalol for Paroxysmal Atrial Fibrillation Caused by Hyperthyroidism: A Prospective, Open Label, and Randomized Study. PG - 101904 LID - 10.1155/2015/101904 [doi] AB - We aimed to compare effectiveness of Wenxin Keli (WK) and sotalol in assisting sinus rhythm (SR) restoration from paroxysmal atrial fibrillation (PAF) caused by hyperthyroidism, as well as in maintaining SR. We randomly prescribed WK (18 g tid) or sotalol (80 mg bid) to 91 or 89 patients. Since it was not ethical not to give patients antiarrhythmia drugs, no control group was set. Antithyroid drugs were given to 90 patients (45 in WK group, 45 in sotalol group); (131)I was given to 90 patients (46 in WK group, 44 in sotalol group). Three months later, SR was obtained in 83/91 or 80/89 cases from WK or sotalol groups (P = 0.762). By another analysis, SR was obtained in 86/90 or 77/90 cases from (131)I or ATD groups (P = 0.022). Then, we randomly assigned the successfully SR-reverted patients into three groups: WK, sotalol, and control (no antiarrhythmia drug was given) groups. After twelve-month follow-up, PAF recurrence happened in 1/54, 2/54, and 9/55 cases, respectively. Log-Rank test showed significant higher PAF recurrent rate in control patients than either treatment (P = 0.06). We demonstrated the same efficacies of WK and sotalol to assist SR reversion from hyperthyroidism-caused PAF. We also showed that either drug could maintain SR in such patients. FAU - Meng, Zhaowei AU - Meng Z AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Tan, Jian AU - Tan J AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - He, Qing AU - He Q AD - Department of Endocrinology, Tianjin Medical University General Hospital, Tianjin 300052, China. FAU - Zhu, Mei AU - Zhu M AD - Department of Endocrinology, Tianjin Medical University General Hospital, Tianjin 300052, China. FAU - Li, Xue AU - Li X AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Zhang, Jianping AU - Zhang J AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Jia, Qiang AU - Jia Q AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Wang, Shen AU - Wang S AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Zhang, Guizhi AU - Zhang G AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. FAU - Zheng, Wei AU - Zheng W AD - Department of Nuclear Medicine, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin 300052, China. LA - eng PT - Journal Article DEP - 20150517 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC4449914 OID - NLM: PMC4449914 EDAT- 2015/06/16 06:00 MHDA- 2015/06/16 06:01 CRDT- 2015/06/16 06:00 PHST- 2014/06/27 [received] PHST- 2014/10/05 [revised] PHST- 2014/10/12 [accepted] PHST- 2015/05/17 [epublish] AID - 10.1155/2015/101904 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2015;2015:101904. doi: 10.1155/2015/101904. Epub 2015 May 17. PMID- 25784948 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20150318 DCOM- 20150318 LR - 20150321 IS - 1741-427X (Print) IS - 1741-427X (Linking) VI - 2015 DP - 2015 TI - Acupuncture antiarrhythmic effects on drug refractory persistent atrial fibrillation: study protocol for a randomized, controlled trial. PG - 613970 LID - 10.1155/2015/613970 [doi] AB - Background. Atrial fibrillation (AF) is the most common form of arrhythmia. Several trials have suggested that acupuncture may prevent AF. However, the efficacy of acupuncture for AF prevention has not been well investigated. Therefore, we designed a prospective, two-parallel-armed, participant and assessor blinded, randomized, sham-controlled clinical trial to investigate acupuncture in persistent AF (ACU-AF). Methods. A total of 80 participants will be randomly assigned to active acupuncture or sham acupuncture groups in a 1 : 1 ratio. Both groups will take the same antiarrhythmic medication during the study period. Patients will receive 10 sessions of acupuncture treatment once a week for 10 weeks. The primary endpoint is AF recurrence rate. Secondary endpoints are left atrium (LA) and left atrial appendage (LAA) changes in function and volume, and inflammatory biomarker changes. Ethics. This study protocol was approved by the institutional review boards (IRBs) of Kyung Hee University Hospital (number 1335-04). This trial is registered with clinicaltrials.gov NCT02110537. FAU - Park, Jimin AU - Park J AD - Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Kim, Hyun Soo AU - Kim HS AD - Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Lee, Seung Min AU - Lee SM AD - Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Yoon, Kanghyun AU - Yoon K AD - Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Kim, Woo-Shik AU - Kim WS AD - Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Woo, Jong Shin AU - Woo JS AD - Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Lee, Sanghoon AU - Lee S AD - Department of Acupuncture and Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Kim, Jin-Bae AU - Kim JB AD - Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. FAU - Kim, Weon AU - Kim W AD - Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea. LA - eng PT - Journal Article DEP - 20150217 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC4346697 OID - NLM: PMC4346697 EDAT- 2015/03/19 06:00 MHDA- 2015/03/19 06:01 CRDT- 2015/03/19 06:00 PHST- 2014/11/11 [received] PHST- 2015/01/16 [revised] PHST- 2015/01/31 [accepted] PHST- 2015/02/17 [epublish] AID - 10.1155/2015/613970 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2015;2015:613970. doi: 10.1155/2015/613970. Epub 2015 Feb 17. PMID- 26934795 OWN - NLM STAT- MEDLINE DA - 20160303 DCOM- 20160324 IS - 0360-1293 (Print) IS - 0360-1293 (Linking) VI - 40 IP - 4 DP - 2015 TI - Using new non-invasive quick method to detect Borrelia Burgdorferi (B.B.) infection from specific parts of the heart in "seemingly normal" ECGs, and from the ECGs of Atrial Fibrillation (AF), a majority of AF ECGs are found to have: 1) Significant B.B. infection, 2) Markedly increased ANP, 3) Increased Cardiac Troponin I & 4) Markedly reduced Taurine. These 4 factors were mainly localized at infected areas of the SA node area, R-&L-Atria & pulmonary veins at the L-atrium. PG - 297-333 AB - Lyme disease is found in a majority of people we tested. Once Borrelia Burgdorferi (B.B.) spirochete enters human body, it not only causes pain by infecting joints, but it also often enters the brain and the heart. Infection of brain can be quickly detected from the pupil and infection of the heart by ECGs non-invasively. By evaluating recorded ECGs of atrial fibrillation (AF), using U.S. patented non-invasive highly sensitive electromagnetic field (EMF) resonance phenomenon between 2 identical molecules or between a molecule and its antibody, we examined 25 different AF patients' ECGs and found the majority of them suffer from various degrees of B.B. spirochete infection in SA node areas, also in the right & left atria, and pulmonary vein near and around its junction at left atrium & lesser degrees of infection at the AV node & His Bundle. When B.B. infection reaches over 224-600ng or higher at these areas, AF often appears in the majority of all AF analyzed. In order to develop AF, the 4 abnormal factors must be present simultaneously: 1) B.B. infection must be increased to 224-600ng or higher, 2) Atrial Natriuretic Peptide (ANP) must be markedly reduced from normal value of less than 4ng to over 100-400ng, 3) A significant increase of Cardiac Troponin I from normal value of less than 3ng to over 12ng and 4) Taurine must also be markedly reduced from normal value of 4-6ng to 0.25ng. These 4 changes were mainly found only at infected sites of the SA node area, both atria and between the end of the T wave & the beginning of the SA node area, which corresponds to U waves at recorded ECG. Origin of the U wave is mainly due to abnormal electrical potential of pulmonary vein at L-atrium. If all 4 factors do not occur at the infection site, no AF will develop. In seemingly normal ECGs, if using this method, one can detect invisible B.B. infection in early stages. Long before AF appears, AF can be prevented by improved treatment with Amoxicillin 500ng 3 times/day + Taurine 175mg x 3 times/day, with or without EPA 180 mg & DHA 120 mg, to avoid serious current limitations in the use of Doxycycline 100 mg 2 times/day, for 4 weeks. FAU - Omura, Yoshiaki AU - Omura Y FAU - Lu, Dominic AU - Lu D FAU - Jones, Marilyn K AU - Jones MK FAU - Nihrane, Abdallah AU - Nihrane A FAU - Duvvi, Harsha AU - Duvvi H FAU - Yapor, Dario AU - Yapor D FAU - Shimotsuura, Yasuhiro AU - Shimotsuura Y FAU - Ohki, Motomu AU - Ohki M LA - eng PT - Journal Article PL - United States TA - Acupunct Electrother Res JT - Acupuncture & electro-therapeutics research JID - 7610364 RN - 0 (Troponin I) RN - 1EQV5MLY3D (Taurine) RN - 85637-73-6 (Atrial Natriuretic Factor) SB - IM MH - Atrial Fibrillation/diagnosis/genetics/*metabolism/*microbiology MH - Atrial Natriuretic Factor/*metabolism MH - Borrelia burgdorferi/genetics/*isolation & purification MH - Electrocardiography MH - Heart Atria/*metabolism MH - Humans MH - Lyme Disease/microbiology MH - Pulmonary Veins/*metabolism MH - Sinoatrial Node/*metabolism MH - Taurine/metabolism MH - Troponin I/*metabolism EDAT- 2015/01/01 00:00 MHDA- 2016/03/25 06:00 CRDT- 2016/03/04 06:00 PST - ppublish SO - Acupunct Electrother Res. 2015;40(4):297-333. PMID- 24368925 OWN - NLM STAT- PubMed-not-MEDLINE DA - 20131225 DCOM- 20140624 LR - 20140624 IS - 1741-427X (Print) IS - 1741-427X (Linking) VI - 2013 DP - 2013 TI - The effects of wenxin keli on p-wave dispersion and maintenance of sinus rhythm in patients with paroxysmal atrial fibrillation: a meta-analysis of randomized controlled trials. PG - 245958 LID - 10.1155/2013/245958 [doi] AB - Objective. To evaluate the beneficial and adverse effects of Wenxin Keli (WXKL), alone or combined with Western medicine, on P-wave dispersion (Pd) and maintenance of sinus rhythm for the treatment of paroxysmal atrial fibrillation (PAF). Methods. Seven major electronic databases were searched to retrieve randomized controlled trials (RCTs) designed to evaluate the clinical effectiveness of WXKL, alone or combined with Western medicine, for PAF, with Pd or maintenance rate of sinus rhythm as the main outcome measure. The methodological quality of the included studies was assessed using criteria from the Cochrane Handbook for Systematic Review of Interventions, version 5.1.0, and analysed using RevMan 5.1.0 software. Results. Fourteen RCTs of WXKL were included. The methodological quality of the trials was generally evaluated as low. The results of meta-analysis showed that WXKL, alone or combined with Western medicine, was more effective in Pd and the maintenance of sinus rhythm, compared with no medicine or Western medicine alone, in patients with PAF or PAF complicated by other diseases. Seven of the trials reported adverse events, indicating that the safety of WXKL is still uncertain. Conclusions. WXKL, alone or combined with Western medicine, appears to be more effective in improving Pd as well as maintenance of sinus rhythm in patients with PAF and its complications. FAU - Chen, Yu AU - Chen Y AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China ; Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, China. FAU - Nie, Shaoping AU - Nie S AD - Beijing An Zhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China. FAU - Gao, Hai AU - Gao H AD - Beijing An Zhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China. FAU - Sun, Tao AU - Sun T AD - Beijing An Zhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China. FAU - Liu, Xiaoqiu AU - Liu X AD - Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, China. FAU - Teng, Fei AU - Teng F AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Xing, Yanhui AU - Xing Y AD - Institute of Information on Traditional Chinese Medicine, Academy of Chinese Medical Sciences, Beijing 100700, China. FAU - Chen, Wen AU - Chen W AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Zhang, Zhenpeng AU - Zhang Z AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Gao, Yonghong AU - Gao Y AD - The Key Laboratory of Chinese Internal Medicine of the Ministry of Education, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China. FAU - Wang, Jie AU - Wang J AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Xing, Yanwei AU - Xing Y AD - Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Shang, Hongcai AU - Shang H AD - Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China. LA - eng PT - Journal Article PT - Review DEP - 20131204 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC3867920 OID - NLM: PMC3867920 EDAT- 2013/12/26 06:00 MHDA- 2013/12/26 06:01 CRDT- 2013/12/26 06:00 PHST- 2013/07/18 [received] PHST- 2013/10/15 [accepted] PHST- 2013/12/04 [epublish] AID - 10.1155/2013/245958 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2013;2013:245958. doi: 10.1155/2013/245958. Epub 2013 Dec 4. PMID- 24273987 OWN - NLM STAT- MEDLINE DA - 20131126 DCOM- 20150105 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 33 IP - 9 DP - 2013 Sep TI - [Yoga and atrial fibrillation: inspiration from studies on yoga my heart]. PG - 1267-8 FAU - Liu, Yue AU - Liu Y FAU - Chen, Ke-Ji AU - Chen KJ LA - chi PT - Journal Article PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 SB - IM MH - *Atrial Fibrillation MH - Humans MH - Prospective Studies MH - *Yoga EDAT- 2013/11/28 06:00 MHDA- 2015/01/06 06:00 CRDT- 2013/11/27 06:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 Sep;33(9):1267-8. PMID- 24195206 OWN - NLM STAT- MEDLINE DA - 20131107 DCOM- 20140102 IS - 0255-2930 (Print) IS - 0255-2930 (Linking) VI - 33 IP - 8 DP - 2013 Aug TI - [Clinical efficacy observation on paroxysmal atrial fibrillation treated by acupuncture combined with Wenxin granule]. PG - 686-8 AB - OBJECTIVE: To compare the difference of clinical efficacy in the treatment of paroxysmal atrial fibrillation (PAF) between acupuncture combined with Wenzin granule and simple Wenxin granule therapy. METHODS: Sixty hospitalized cases of PAF were randomized into a medication group and a medication--acupuncture group. Wenxin granule was given to the patients in the two groups 3 times a day, 9 g each time, 4 weeks as a treatment course. Meanwhile, acupuncture was added to the medication--acupuncture group at bilateral Neiguan (PC 6), Shenmen (HT 7), Ximen (PC 4) with uneven reinforcing-reducing manipulation every 15 min, 1 min each time. The needle was retained for 30 minutes. The acupuncture was given once daily for continuously 4 weeks. The therapeutic efficacy of the two groups was assessed after treatment. METHODS: In the medication+acupuncture group, 18 cases were markedly effective, 10 cases were effective and 2 cases were failed, the total effective rate was 93.3%; in the medication group, 15 cases were markedly effective, 8 cases were effective and 7 cases were failed, the total effective rate was 76.7%. There were statistical significances in clinical efficacy between the two groups (P<0.05). CONCLUSION: Acupuncture combined with Wenxin granule has a better effect than simple Wenxin granule therapy in the treatment of paroxysmal atrial fibrillation. FAU - Zhang, Xue-Lian AU - Zhang XL AD - Department of Physiotherapy, Second People's Hospital of Hengshui, Hengshui 053000, Hebei Province, China. maryhb@163.com FAU - Lou, Man AU - Lou M FAU - Wang, Hong-Ye AU - Wang HY LA - chi PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Zhen Jiu JT - Zhongguo zhen jiu = Chinese acupuncture & moxibustion JID - 8600658 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - *Acupuncture Therapy MH - Adult MH - Aged MH - Atrial Fibrillation/drug therapy/*therapy MH - Combined Modality Therapy MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - Treatment Outcome EDAT- 2013/11/08 06:00 MHDA- 2014/01/03 06:00 CRDT- 2013/11/08 06:00 PST - ppublish SO - Zhongguo Zhen Jiu. 2013 Aug;33(8):686-8. PMID- 23884291 OWN - NLM STAT- MEDLINE DA - 20130902 DCOM- 20140421 LR - 20150423 IS - 1759-9873 (Electronic) IS - 0964-5284 (Linking) VI - 31 IP - 3 DP - 2013 Sep TI - Integrated approach to treatment-resistant atrial fibrillation: additional value of acupuncture. PG - 327-30 LID - 10.1136/acupmed-2013-010380 [doi] AB - A 62-year-old patient with chronic bronchitis had treatment-resistant atrial fibrillation. Electrical cardioversion was performed, but sinus rhythm (SR) lasted only for some minutes. Administration of amiodarone was withheld in favour of a course of acupuncture treatment in order to increase the success rate of a second attempt of electrical cardioversion. After two acupuncture treatments, spontaneous conversion to SR occurred. Relapses into atrial fibrillation in the following five winters, associated with attacks of bronchitis, also responded to acupuncture. The mechanisms of action of the acupuncture treatment and the value of this integrated approach to treatment are discussed. FAU - Jonkman, F A M AU - Jonkman FA AD - Department of Acupuncture, Acupuncture Outpatient Clinic Heel de Mens, Heelsum, The Netherlands. info@humanbalance.nl FAU - Jonkman-Buidin, M L AU - Jonkman-Buidin ML LA - eng PT - Case Reports PT - Journal Article DEP - 20130724 PL - England TA - Acupunct Med JT - Acupuncture in medicine : journal of the British Medical Acupuncture Society JID - 9304117 SB - IM MH - *Acupuncture Therapy MH - Atrial Fibrillation/physiopathology/*therapy MH - *Electric Countershock MH - Humans MH - Male MH - Middle Aged PMC - PMC3786618 OID - NLM: PMC3786618 OTO - NOTNLM OT - ACUPUNCTURE OT - CARDIOLOGY OT - CLINICAL PHARMACOLOGY OT - COMPLEMENTARY MEDICINE EDAT- 2013/07/26 06:00 MHDA- 2014/04/22 06:00 CRDT- 2013/07/26 06:00 PHST- 2013/07/24 [aheadofprint] AID - acupmed-2013-010380 [pii] AID - 10.1136/acupmed-2013-010380 [doi] PST - ppublish SO - Acupunct Med. 2013 Sep;31(3):327-30. doi: 10.1136/acupmed-2013-010380. Epub 2013 Jul 24. PMID- 24176784 OWN - NLM STAT- MEDLINE DA - 20131101 DCOM- 20160423 IS - 1531-2054 (Print) IS - 1531-2054 (Linking) VI - 23 Suppl DP - 2013 TI - 2013 SYR Accepted Poster Abstracts. PG - 32-53 AB - SYR 2013 Accepted Poster abstracts: 1. Benefits of Yoga as a Wellness Practice in a Veterans Affairs (VA) Health Care Setting: If You Build It, Will They Come? 2. Yoga-based Psychotherapy Group With Urban Youth Exposed to Trauma. 3. Embodied Health: The Effects of a MindBody Course for Medical Students. 4. Interoceptive Awareness and Vegetable Intake After a Yoga and Stress Management Intervention. 5. Yoga Reduces Performance Anxiety in Adolescent Musicians. 6. Designing and Implementing a Therapeutic Yoga Program for Older Women With Knee Osteoarthritis. 7. Yoga and Life Skills Eating Disorder Prevention Among 5th Grade Females: A Controlled Trial. 8. A Randomized, Controlled Trial Comparing the Impact of Yoga and Physical Education on the Emotional and Behavioral Functioning of Middle School Children. 9. Feasibility of a Multisite, Community based Randomized Study of Yoga and Wellness Education for Women With Breast Cancer Undergoing Chemotherapy. 10. A Delphi Study for the Development of Protocol Guidelines for Yoga Interventions in Mental Health. 11. Impact Investigation of Breathwalk Daily Practice: CanadaIndia Collaborative Study. 12. Yoga Improves Distress, Fatigue, and Insomnia in Older Veteran Cancer Survivors: Results of a Pilot Study. 13. Assessment of Kundalini Mantra and Meditation as an Adjunctive Treatment With Mental Health Consumers. 14. Kundalini Yoga Therapy Versus Cognitive Behavior Therapy for Generalized Anxiety Disorder and Co-Occurring Mood Disorder. 15. Baseline Differences in Women Versus Men Initiating Yoga Programs to Aid Smoking Cessation: Quitting in Balance Versus QuitStrong. 16. Pranayam Practice: Impact on Focus and Everyday Life of Work and Relationships. 17. Participation in a Tailored Yoga Program is Associated With Improved Physical Health in Persons With Arthritis. 18. Effects of Yoga on Blood Pressure: Systematic Review and Meta-analysis. 19. A Quasi-experimental Trial of a Yoga based Intervention to Reduce Stress and Promote Health and Well-being Among Middle School Educators. 20. A Systematic Review of Yoga-based Interventions for Objective and Subjective Balance Measures. 21. Disparities in Yoga Use: A Multivariate Analysis of 2007 National Health Interview Survey Data. 22. Implementing Yoga Therapy Adapted for Older Veterans Who Are Cancer Survivors. 23. Randomized, Controlled Trial of Yoga for Women With Major Depressive Disorder: Decreased Ruminations as Potential Mechanism for Effects on Depression? 24. Yoga Beyond the Metropolis: A Yoga Telehealth Program for Veterans. 25. Yoga Practice Frequency, Relationship Maintenance Behaviors, and the Potential Mediating Role of Relationally Interdependent Cognition. 26. Effects of Medical Yoga in Quality of Life, Blood Pressure, and Heart Rate in Patients With Paroxysmal Atrial Fibrillation. 27. Yoga During School May Promote Emotion Regulation Capacity in Adolescents: A Group Randomized, Controlled Study. 28. Integrated Yoga Therapy in a Single Session as a Stress Management Technique in Comparison With Other Techniques. 29. Effects of a Classroom-based Yoga Intervention on Stress and Attention in Second and Third Grade Students. 30. Improving Memory, Attention, and Executive Function in Older Adults with Yoga Therapy. 31. Reasons for Starting and Continuing Yoga. 32. Yoga and Stress Management May Buffer Against Sexual Risk-Taking Behavior Increases in College Freshmen. 33. Whole-systems Ayurveda and Yoga Therapy for Obesity: Outcomes of a Pilot Study. 34. Womens Phenomenological Experiences of Exercise, Breathing, and the Body During Yoga for Smoking Cessation Treatment. 35. Mindfulness as a Tool for Trauma Recovery: Examination of a Gender-responsive Trauma-informed Integrative Mindfulness Program for Female Inmates. 36. Yoga After Stroke Leads to Multiple Physical Improvements. 37. Tele-Yoga in Patients With Chronic Obstructive Pulmonary Disease and Heart Failure: A Mixed-methods Study of Feasibility, Acceptability, and Safety. 38. Effects of an Ashtanga Yoga-based Health and Wellness Curriculum on Physical and Emotional Well-being, Engagement Toward School, and Academic Performance of K-6 Students. 39. Yoga as a Facilitator for Participation Following an 8-week Yoga for Individuals With Chronic Stroke. 40. Standardization of Design and Reporting of Yoga Interventions for Musculoskeletal Conditions: A Delphi Approach. 41. Creating S.P.A.C.E. Through Yoga: Africa Yoga Project Teachers Promote Personal Transformation, Peaceful Communities, and Purpose-filled Service. LA - eng PT - Journal Article PT - Meta-Analysis PT - Randomized Controlled Trial PL - United States TA - Int J Yoga Therap JT - International journal of yoga therapy JID - 100965420 SB - IM MH - *Anxiety/therapy MH - Depressive Disorder, Major MH - Humans MH - National Institute of Arthritis and Musculoskeletal and Skin Diseases (U.S.) MH - Pilot Projects MH - *Quality of Life MH - Yoga/psychology EDAT- 2013/01/01 00:00 MHDA- 2016/04/24 06:00 CRDT- 2013/11/02 06:00 AID - 725531PU2R110135 [pii] PST - ppublish SO - Int J Yoga Therap. 2013;23 Suppl:32-53. PMID- 22876439 OWN - NLM STAT- MEDLINE DA - 20120810 DCOM- 20120830 IS - 0255-2922 (Print) IS - 0255-2922 (Linking) VI - 32 IP - 2 DP - 2012 Jun TI - Mortality and recurrence of vascular disease among stroke patients treated with combined TCM therapy. PG - 173-8 AB - OBJECTIVE: To confirm the long-term outcomes of stroke patients and determine predicting factors for death, recurrence of vascular events and poor outcome (either recurrence or death) after the use of combined TCM therapy. METHODS: This was a retrospective hospital-based cohort study and was performed in the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine in Tianjin. All subjects with stroke consecutively admitted to an inpatient ward of the Acupuncture Department from January 1, 2008, to December 31, 2008 were retrospectively followed through one year. The main outcomes were either a recurrence of vascular events, mortality or both. Risk factors were recorded from medical records. Multivariate regression models were used to analyze predictors. The following independent variables were used: age, gender, hypertension, ischemic heart disease, atrial fibrillation, diabetes mellitus, carotid arterial lesions and history of stroke. RESULTS: Four-hundred and five patients were included. The 1-year mortality rate was 11.11%. 23.70% of the patients had a recurrent vascular event, and 30.86% suffered a poor outcome. Multiple logistic regression analysis found that previous stroke, and advanced age were predictors of death within one year, Recurrence of vascular events was associated with carotid arterial lesions, history of diabetes and previous stroke. Long-term poor outcome was predicted by advanced age, history of diabetes, and previous stroke. CONCLUSION: Age, previous stroke, carotid arterial lesions and diabetes history seem to have different impacts on the three outcomes within one year. Our findings provide important data for planning future hospital register studies of stroke patients in TCM hospitals. FAU - Zhao, Xiao-feng AU - Zhao XF AD - Institute of Acupuncture and Moxibustion, the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, China. FAU - Su, Shi-jun AU - Su SJ FAU - Yun, Guo AU - Yun G FAU - Guo, Yun-hong AU - Guo YH FAU - Wang, Shu AU - Wang S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - J Tradit Chin Med JT - Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan / sponsored by All-China Association of Traditional Chinese Medicine, Academy of Traditional Chinese Medicine JID - 8211546 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cohort Studies MH - Female MH - Humans MH - Logistic Models MH - Male MH - *Medicine, Chinese Traditional MH - Middle Aged MH - Recurrence MH - Retrospective Studies MH - Stroke/*drug therapy/mortality MH - Vascular Diseases/*etiology EDAT- 2012/08/11 06:00 MHDA- 2012/08/31 06:00 CRDT- 2012/08/11 06:00 PST - ppublish SO - J Tradit Chin Med. 2012 Jun;32(2):173-8. PMID- 22875558 OWN - NLM STAT- MEDLINE DA - 20120809 DCOM- 20120906 LR - 20121220 IS - 1078-6791 (Print) IS - 1078-6791 (Linking) VI - 18 IP - 3 DP - 2012 May-Jun TI - Tai chi exercise for patients with heart disease: a systematic review of controlled clinical trials. PG - 16-22 AB - CONTEXT: To summarize and evaluate the available evidence from controlled clinical trials of tai chi (TC) exercise for patients with heart disease. SEARCH METHODS: Fourteen databases were searched up to November 2010 with the terms tai chi, taichi, tai ji, taiji, taijichuan, cardiac, heart, coronary, myocardial, and atrial fibrillation in the title, abstract, or key words. No language restrictions were imposed. The quality and validity of randomized clinical trials (RCTs) were evaluated using the Jadad Scale. The strength of the evidence for all included studies was evaluated using the Oxford Centre for Evidence-based Medicine Levels of Evidence. RESULTS: Nine studies including 5 RCTs and 4 nonrandomized controlled clinical trials met the inclusion criteria. Three studies examined the effectiveness of TC exercise for patients with chronic heart failure (CHF), and 6 studies examined the effectiveness of TC exercise among patients with coronary heart disease (CHD). Overall, these studies demonstrated favorable effects of TC exercise for the patients with heart disease. CONCLUSIONS: The existing evidence suggests that TC exercise is a good option for heart patients with very limited exercise tolerance and can be an adjunct to rehabilitation programs for patients with CHD or CHF. FAU - Ng, Siu-Man AU - Ng SM AD - Centre on Behavioral Health and Department of Social Work and Social Administration, University of Hong Kong. FAU - Wang, Chong-Wen AU - Wang CW FAU - Ho, Rainbow Tin-Hung AU - Ho RT FAU - Ziea, Tat-Chi AU - Ziea TC FAU - He, J AU - He J FAU - Wong, Vivian Chi-Woon AU - Wong VC FAU - Chan, Cecilia Lai-Wan AU - Chan CL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Altern Ther Health Med JT - Alternative therapies in health and medicine JID - 9502013 SB - IM EIN - Altern Ther Health Med. 2012 Nov-Dec;18(6):79. Tin-Hung Ho, Rainbow [corrected to Ho, Rainbow Tin-Hung]; Tat-Chi Ziea, Eric [corrected to Ziea, Tat-Chi]; He, J [removed]; Chi-Woon Taam Wong, Vivian [corrected to Wong, Vivian Chi-Woon]; Lai-Wan Chan, Cecilia [corrected to Chan, Cecilia Lai-Wan] MH - Activities of Daily Living MH - Controlled Clinical Trials as Topic MH - Coronary Disease/*rehabilitation MH - *Evidence-Based Medicine MH - Health Behavior MH - Humans MH - Myocardial Infarction/rehabilitation MH - Outcome Assessment (Health Care) MH - *Quality of Life MH - Randomized Controlled Trials as Topic MH - Research Design MH - *Tai Ji EDAT- 2012/08/10 06:00 MHDA- 2012/09/07 06:00 CRDT- 2012/08/10 06:00 PST - ppublish SO - Altern Ther Health Med. 2012 May-Jun;18(3):16-22. PMID- 22741473 OWN - NLM STAT- MEDLINE DA - 20120629 DCOM- 20120828 IS - 1001-5302 (Print) IS - 1001-5302 (Linking) VI - 37 IP - 1 DP - 2012 Jan TI - [Quality assessment of randomized controlled trials on wenxin granule for treatment of atrial fibrillation]. PG - 109-14 AB - OBJECTIVE: To investigate the statement on randomized controlled trials on Wenxin granule for treatment of atrial fibrillation and to judge whether those trials could offer high quality evidence or not, thus improve design level and quality. METHOD: RCTs were searched from home and abroad about atrial fibrillation treated with Wenxin granule, which reported before October, 2010. Jadad scale and CONSORT statement were used. RESULT: There were 66 RCTs retrieved that met inclusion criteria. Using Jadad rating scale, only 2 literatures gain score 4 and 1 literature gains score 3, 54 literatures gain score 2, 7 literatures gain score 1, 2 literatures gain score 0. Only 2 literatures described random number table as the method of grouping. None of the RCTs was reported the allocation concealment. Only 1 literature was used blinding. Fifty-nine literatures were mentioned the lost to follow-up conditions. According to the CONSORT standards, only six literatures (9.1%) mentioned the method of generating the random sequence. Four literatures (6.1%) were quasi-random. Nineteen literatures (28.8%) had inclusion criteria. Six literatures (9.1%) had the follow-up record. Fifty one literatures (77.3%) described the adverse events. None had the estimation of the sample size, intention-to-treat analysis and stratified analysis. None had the ethical approval or informed consent. CONCLUSION: The quality of clinical trials of Wenxin granule in treating atrial fibrillation needs to be improved. FAU - Liu, Weimin AU - Liu W AD - Institute of Basic Research In Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China. liuweimin68@yahoo.com.cn FAU - Jiang, Rui AU - Jiang R FAU - Ding, Shasha AU - Ding S FAU - Fu, Wei AU - Fu W FAU - Wang, Shuqin AU - Wang S FAU - Li, Xue AU - Li X FAU - Kang, Jing AU - Kang J FAU - Wu, Dongning AU - Wu D FAU - Liu, Bo AU - Liu B FAU - Mao, Wenchao AU - Mao W FAU - He, Liyun AU - He L FAU - Liu, Baoyan AU - Liu B LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Zhong Yao Za Zhi JT - Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica JID - 8913656 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Atrial Fibrillation/*drug therapy MH - Drugs, Chinese Herbal/*therapeutic use MH - Humans MH - Randomized Controlled Trials as Topic EDAT- 2012/06/30 06:00 MHDA- 2012/08/29 06:00 CRDT- 2012/06/30 06:00 PST - ppublish SO - Zhongguo Zhong Yao Za Zhi. 2012 Jan;37(1):109-14. PMID- 22419421 OWN - NLM STAT- MEDLINE DA - 20120315 DCOM- 20120710 IS - 0192-415X (Print) IS - 0192-415X (Linking) VI - 40 IP - 2 DP - 2012 TI - A systematic review of the effectiveness of qigong exercise in cardiac rehabilitation. PG - 255-67 AB - The objective of this study was to assess evidence for the efficacy and effectiveness of Chinese qigong exercise in rehabilitative programs among cardiac patients. Thirteen databases were searched through to November 2010, and all controlled clinical trials on Chinese qigong exercise among patients with chronic heart diseases were included. For each included study, data was extracted and validity was assessed. Study quality was evaluated and summarized using both the Jadad Scale and the criteria for levels of evidence. Seven randomized controlled trials (RCTs) and one non-randomized controlled clinical trial (CCT) published between 1988 and 2007 met the inclusion criteria. In total, these studies covered 540 patients with various chronic heart diseases including atrial fibrillation, coronary artery disease, myocardial infarct, valve replacement, and ischemic heart disease. Outcome measures emerged in these studies included subjective outcomes such as symptoms and quality of life; and objective outcomes such as blood pressure, ECG findings, and exercise capacity, physical activity, balance, co-ordination, heart rate, and oxygen uptake. Overall, these studies suggest that Chinese qigong exercise seems to be an optimal option for patients with chronic heart diseases who were unable to engage in other forms of physical activity; however, its efficacy and effectiveness in cardiac rehabilitation programs should be further tested. FAU - Chan, Cecilia Lai-Wan AU - Chan CL AD - Centre on Behavioral Health, University of Hong Kong, 5 Sassoon Road, Pokfulam, Hong Kong SAR, China. FAU - Wang, Chong-Wen AU - Wang CW FAU - Ho, Rainbow Tin-Hung AU - Ho RT FAU - Ho, Andy Hau-Yan AU - Ho AH FAU - Ziea, Eric Tat-Chi AU - Ziea ET FAU - Taam Wong, Vivian Chi-Woon AU - Taam Wong VC FAU - Ng, Siu-Man AU - Ng SM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Singapore TA - Am J Chin Med JT - The American journal of Chinese medicine JID - 7901431 SB - IM MH - *Breathing Exercises MH - Clinical Trials as Topic MH - Heart/physiopathology MH - Heart Diseases/physiopathology/*rehabilitation MH - Humans EDAT- 2012/03/16 06:00 MHDA- 2012/07/11 06:00 CRDT- 2012/03/16 06:00 AID - S0192415X12500206 [pii] AID - 10.1142/S0192415X12500206 [doi] PST - ppublish SO - Am J Chin Med. 2012;40(2):255-67. PMID- 22072550 OWN - NLM STAT- MEDLINE DA - 20120607 DCOM- 20121002 LR - 20141120 IS - 1099-1573 (Electronic) IS - 0951-418X (Linking) VI - 26 IP - 6 DP - 2012 Jun TI - Frequency-dependent electrophysiological remodeling of the AV node by hydroalcohol extract of Crocus sativus L. (saffron) during experimental atrial fibrillation: the role of endogenous nitric oxide. PG - 826-32 LID - 10.1002/ptr.3643 [doi] AB - The study assessed the hydroalcohol extract effects of Crocus sativus L. (saffron) on (i) the basic and rate-dependent electrophysiological properties of the AV node, (ii) remodeling of the AV node during experimental atrial fibrillation (AF) and (iii) the role of nitric oxide (NO) in the effects of saffron on the AV node. Stimulation protocols in isolated AV node were used to quantify AV nodal recovery, facilitation and fatigue in four groups of rabbits (n = 8-16 per group). In addition, the nodal response to AF was evaluated at multiple cycle lengths and during AF. Saffron had a depressant effect on AV nodal rate-dependent properties; further, it increased Wenckebach block cycle length, functional refractory period, facilitation and fatigue (p < 0.05). A NO-synthase inhibitor (L-NAME) prevented the depressant effects of saffron on the AV node (p < 0.05). Saffron increased the zone of concealment in experimental AF (p < 0.05). The present research showed, for the first time, established electrophysiological remodeling of the AV node during AF by saffron. Saffron increased the AV nodal refractoriness and zone of concealment. These depressant effects of saffron were mediated by endogenous NO. CI - Copyright (c) 2011 John Wiley & Sons, Ltd. FAU - Khori, Vahid AU - Khori V AD - Golestan Cardiovascular Research Center, Golestan University of Medical Sciences, Gorgan, Iran. FAU - Alizadeh, Ali Mohammad AU - Alizadeh AM FAU - Yazdi, Hamidreza AU - Yazdi H FAU - Rakhshan, Elnaz AU - Rakhshan E FAU - Mirabbasi, Abbas AU - Mirabbasi A FAU - Changizi, Shima AU - Changizi S FAU - Mazandarani, Masumeh AU - Mazandarani M FAU - Nayebpour, Mohsen AU - Nayebpour M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111110 PL - England TA - Phytother Res JT - Phytotherapy research : PTR JID - 8904486 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Plant Extracts) RN - 059QF0KO0R (Water) RN - 31C4KY9ESH (Nitric Oxide) RN - 3K9958V90M (Ethanol) RN - V55S2QJN2X (NG-Nitroarginine Methyl Ester) SB - IM MH - Animals MH - Anti-Arrhythmia Agents/pharmacology MH - Atrial Fibrillation/*physiopathology MH - Atrioventricular Node/*drug effects/metabolism/physiopathology MH - Crocus/*chemistry MH - *Electrophysiological Phenomena MH - Ethanol MH - Fatigue/chemically induced/physiopathology MH - Heart Block/physiopathology MH - Heart Rate MH - In Vitro Techniques MH - Male MH - NG-Nitroarginine Methyl Ester/pharmacology MH - Nitric Oxide/antagonists & inhibitors/*metabolism MH - Plant Extracts/administration & dosage/chemistry/pharmacology MH - Rabbits MH - Water EDAT- 2011/11/11 06:00 MHDA- 2012/10/04 06:00 CRDT- 2011/11/11 06:00 PHST- 2011/04/10 [received] PHST- 2011/07/11 [revised] PHST- 2011/07/11 [accepted] PHST- 2011/11/10 [aheadofprint] AID - 10.1002/ptr.3643 [doi] PST - ppublish SO - Phytother Res. 2012 Jun;26(6):826-32. doi: 10.1002/ptr.3643. Epub 2011 Nov 10. PMID- 21823296 OWN - NLM STAT- MEDLINE DA - 20110809 DCOM- 20110906 IS - 0255-2930 (Print) IS - 0255-2930 (Linking) VI - 31 IP - 7 DP - 2011 Jul TI - [Case of atrial fibrillation]. PG - 645 FAU - Yang, Zhen-Jie AU - Yang ZJ AD - gancao8314@163.com FAU - Wu, Fu-Dong AU - Wu FD FAU - Wang, Rui AU - Wang R LA - chi PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Zhen Jiu JT - Zhongguo zhen jiu = Chinese acupuncture & moxibustion JID - 8600658 SB - IM MH - *Acupuncture Therapy MH - Aged MH - Atrial Fibrillation/physiopathology/*therapy MH - Humans MH - Male EDAT- 2011/08/10 06:00 MHDA- 2011/09/07 06:00 CRDT- 2011/08/10 06:00 PST - ppublish SO - Zhongguo Zhen Jiu. 2011 Jul;31(7):645. PMID- 21385466 OWN - NLM STAT- MEDLINE DA - 20110325 DCOM- 20110825 LR - 20151119 IS - 1472-6882 (Electronic) IS - 1472-6882 (Linking) VI - 11 DP - 2011 TI - Physical conditioning and mental stress reduction--a randomised trial in patients undergoing cardiac surgery. PG - 20 LID - 10.1186/1472-6882-11-20 [doi] AB - BACKGROUND: Preoperative anxiety and physical unfitness have been shown to have adverse effects on recovery from cardiac surgery. This study involving cardiac surgery patients was primarily aimed at assessing the feasibility of delivering physical conditioning and stress reduction programs within the public hospital setting. Secondary aims were to evaluate the effect of these programs on quality of life (QOL), rates of postoperative atrial fibrillation (AF) and length of stay (LOS) in hospital. METHODS: Elective patients scheduled for coronary artery bypass graft and/or valve surgery at a public hospital in Melbourne, Australia were enrolled. Patients were randomized to receive either holistic therapy (HT) or usual care (UC). HT consisted of a series of light physical exercise sessions together with a mental stress reduction program administered in an outpatient setting for the first two weeks after placement on the waiting list for surgery. A self-administered SF-36 questionnaire was used to measure QOL and hospital records to collect data on LOS and rate of postoperative AF. RESULTS: The study population comprised 117 patients of whom 60 received HT and 57 received UC. Both programs were able to be delivered within the hospital setting but ongoing therapy beyond the two week duration of the program was not carried out due to long waiting periods and insufficient resources. HT, as delivered in this study, compared to UC did not result in significant changes in QOL, LOS or AF incidence. CONCLUSIONS: Preoperative holistic therapy can be delivered in the hospital setting, although two weeks is insufficient to provide benefits beyond usual care on QOL, LOS or postoperative AF. Further research is now required to determine whether a similar program of longer duration, or targeted to high risk patients can provide measurable benefits. TRIAL REGISTRATION: This trial was conducted as part of a larger study and according to the principles contained in the CONSORT statement 2001. FAU - Rosenfeldt, Franklin AU - Rosenfeldt F AD - Cardiac Surgical Research Unit, Alfred Hospital, Department of Surgery, Monash University, Baker IDI Institute Melbourne, Australia. f.rosenfeldt@alfred.org.au FAU - Braun, Lesley AU - Braun L FAU - Spitzer, Ondine AU - Spitzer O FAU - Bradley, Scott AU - Bradley S FAU - Shepherd, Judy AU - Shepherd J FAU - Bailey, Michael AU - Bailey M FAU - van der Merwe, Juliana AU - van der Merwe J FAU - Leong, Jee-Yoong AU - Leong JY FAU - Esmore, Donald AU - Esmore D LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110309 PL - England TA - BMC Complement Altern Med JT - BMC complementary and alternative medicine JID - 101088661 SB - IM MH - Aged MH - Atrial Fibrillation/etiology/therapy MH - Cardiac Surgical Procedures/*psychology MH - Coronary Artery Bypass MH - Evaluation Studies as Topic MH - *Exercise Therapy MH - Female MH - Heart Diseases/surgery MH - Heart Valves/surgery MH - *Holistic Health MH - Humans MH - Length of Stay MH - Male MH - Middle Aged MH - *Mind-Body Therapies MH - Outcome Assessment (Health Care) MH - *Physical Fitness MH - Postoperative Complications/therapy MH - Preoperative Care/*methods MH - Quality of Life MH - Standard of Care MH - Stress, Psychological/*therapy MH - Surveys and Questionnaires PMC - PMC3063826 OID - NLM: PMC3063826 EDAT- 2011/03/10 06:00 MHDA- 2011/08/27 06:00 CRDT- 2011/03/10 06:00 PHST- 2010/06/28 [received] PHST- 2011/03/09 [accepted] PHST- 2011/03/09 [aheadofprint] AID - 1472-6882-11-20 [pii] AID - 10.1186/1472-6882-11-20 [doi] PST - epublish SO - BMC Complement Altern Med. 2011 Mar 9;11:20. doi: 10.1186/1472-6882-11-20. PMID- 21302500 OWN - NLM STAT- MEDLINE DA - 20110208 DCOM- 20130204 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 30 IP - 12 DP - 2010 Dec TI - [Exploration on current clinical management of cardiovascular diseases]. PG - 1320-4 AB - Dramatic advances in the treatment of cardiovascular disease were witnessed in recent years, however, there are still some problems needed to be explored. The related issues in terms of coronary heart disease, atrial fibrillation and chronic heart failure were discussed in this paper, and the latest progress of integrative medical treatment on them were reviewed as well. FAU - Zhao, Fu-hai AU - Zhao FH AD - Cardiovascular Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091. xahappysea@yahoo.com.cn LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Atrial Fibrillation/therapy MH - Cardiovascular Diseases/*therapy MH - Chronic Disease MH - Coronary Disease/therapy MH - Drugs, Chinese Herbal/*therapeutic use MH - Heart Failure/therapy MH - Humans MH - *Phytotherapy EDAT- 2011/02/10 06:00 MHDA- 2013/02/05 06:00 CRDT- 2011/02/10 06:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Dec;30(12):1320-4. PMID- 21110181 OWN - NLM STAT- MEDLINE DA - 20101126 DCOM- 20110330 LR - 20151119 IS - 1672-0415 (Print) IS - 1672-0415 (Linking) VI - 16 IP - 6 DP - 2010 Dec TI - Evidence-based practice method of integrative Chinese and Western medicine based on literature retrieval through PICO question and complementary and alternative medicine topics. PG - 542-8 LID - 10.1007/s11655-010-0570-5 [doi] AB - An evidence-based practice method according to literature retrieval through PICO (Patients, Intervention, Comparison, Outcome) questions and complementary and alternative medicine (CAM) topics, which can obtain helpful evidence for guiding clinical practice, was introduced with a practical example in this paper. The knowledge of diseases and Western medicine treatment can be acquired by literature retrieval through PICO question, while searching by CAM topics may provide evidence for Chinese medicine (CM). Thus the author held that literature retrieval through both PICO question and CAM topics was an ideal evidence-based practice method for integrative Chinese and Western medicine (ICWM). However, since the standard in CM evidence hierarchy is still under study, the value of the CAM thematic retrieval method remains very limited. In the future, studies on the definition and hierarchy of CM evidences and the herb-drug interaction between Western and Chinese medicine during a combination therapy should be strengthened to improve the status of ICWM evidence-based practice. FAU - Yan, Xiu-feng AU - Yan XF AD - Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China. FAU - Ni, Qing AU - Ni Q FAU - Wei, Jun-ping AU - Wei JP FAU - Xu, Hao AU - Xu H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20101126 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 SB - IM MH - Atrial Fibrillation/physiopathology/therapy MH - Complementary Therapies/*methods MH - Evidence-Based Medicine/*methods MH - Heart Rate/physiology MH - Herb-Drug Interactions MH - Humans MH - Integrative Medicine/*methods MH - Internet MH - Medicine, Chinese Traditional/*methods MH - *Surveys and Questionnaires MH - Treatment Outcome EDAT- 2010/11/27 06:00 MHDA- 2011/03/31 06:00 CRDT- 2010/11/27 06:00 PHST- 2010/06/07 [received] PHST- 2010/11/26 [aheadofprint] AID - 10.1007/s11655-010-0570-5 [doi] PST - ppublish SO - Chin J Integr Med. 2010 Dec;16(6):542-8. doi: 10.1007/s11655-010-0570-5. Epub 2010 Nov 26. PMID- 20872121 OWN - NLM STAT- MEDLINE DA - 20100927 DCOM- 20110201 LR - 20131121 IS - 1672-0415 (Print) IS - 1672-0415 (Linking) VI - 16 IP - 5 DP - 2010 Oct TI - Clinical observation on the treatment of atrial fibrillation with amiodarone combined with Shenmai Injection (). PG - 453-6 LID - 10.1007/s11655-010-0540-y [doi] AB - OBJECTIVE: To observe the therapeutic efficacy and safety of amiodarone combined with Shenmai Injection () on atrial fibrillation. METHODS: A total of 351 patients with atrial fibrillation caused by cardiovascular diseases and idiopathic atrial fibrillation were assigned to amiodarone group (control group, 128 cases) and amiodarone combined with Shenmai Injection group (treatment group, 223 cases). The patients in the control group received intravenous injection of 150 mg amiodarone in 10 min, followed by intravenous drip infusion at 1 mg /min and 6 h later at 0.5 mg /min until 48 h or cardioversion. The patients in the treatment group received the same treatment of amiodarone, while in addition, they received an injection of Shenmai Injection of 100 mL simultaneously. Blood pressure, ventricular rate, and cardioversion were observed. RESULTS: The total efficiency rate was 98% (control group) and 99% (treatment group) (P>0.05). The mean ventricular rate decreased 23% and 31% in the control group and the treatment group, respectively (P<0.05). The mean cardioversion time of the two groups was 570+/-211 min and 351+/-123 min, respectively (P<0.05). Only mild side effects were observed in both groups. CONCLUSION: Compared with amiodarone, amiodarone combined with Shenmai Injection takes effect more quickly with low side effects on the treatment of atrial fibrillation. FAU - Deng, Min AU - Deng M AD - Emergency Medicine Department, Integrated Chinese and Western Medicine Hospital, Zhejiang University of Traditional Chinese Medicine, Hangzhou, China. dengmin136@126.com FAU - Sui, Xiang-qian AU - Sui XQ FAU - Zhu, Shi-bing AU - Zhu SB FAU - Ma, Wei AU - Ma W FAU - Xu, Ying AU - Xu Y FAU - Chen, Zhi-ming AU - Chen ZM LA - eng PT - Journal Article DEP - 20100925 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Drug Combinations) RN - 0 (Drugs, Chinese Herbal) RN - 0 (fructus schizandrae, radix ginseng, radix ophiopogonis drug combination) RN - N3RQ532IUT (Amiodarone) SB - IM MH - Aged MH - Aged, 80 and over MH - Amiodarone/administration & dosage/adverse effects/*therapeutic use MH - Anti-Arrhythmia Agents/administration & dosage/adverse effects/*therapeutic use MH - Atrial Fibrillation/*drug therapy MH - Drug Combinations MH - Drugs, Chinese Herbal/*administration & dosage/adverse effects/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged EDAT- 2010/09/28 06:00 MHDA- 2011/02/02 06:00 CRDT- 2010/09/28 06:00 PHST- 2010/02/08 [received] PHST- 2010/09/25 [aheadofprint] AID - 10.1007/s11655-010-0540-y [doi] PST - ppublish SO - Chin J Integr Med. 2010 Oct;16(5):453-6. doi: 10.1007/s11655-010-0540-y. Epub 2010 Sep 25. PMID- 19447272 OWN - NLM STAT- MEDLINE DA - 20090518 DCOM- 20090930 IS - 1532-6586 (Electronic) IS - 0161-4754 (Linking) VI - 32 IP - 4 DP - 2009 May TI - Treatment of paroxysmal supraventricular tachycardia using instrument-assisted manipulation of the fourth rib. PG - 326; author reply 326-7 LID - 10.1016/j.jmpt.2009.03.004 [doi] FAU - Osterbauer, Paul J AU - Osterbauer PJ FAU - Elkington, William C AU - Elkington WC LA - eng PT - Comment PT - Letter PL - United States TA - J Manipulative Physiol Ther JT - Journal of manipulative and physiological therapeutics JID - 7807107 SB - IM CON - J Manipulative Physiol Ther. 2008 Jun;31(5):389-91. PMID: 18558281 MH - Atrial Fibrillation/diagnosis MH - Chiropractic/*methods MH - Humans MH - Interdisciplinary Communication MH - *Patient Care Team MH - Tachycardia, Paroxysmal/diagnosis/*therapy EDAT- 2009/05/19 09:00 MHDA- 2009/10/01 06:00 CRDT- 2009/05/19 09:00 PHST- 2008/09/09 [received] AID - S0161-4754(09)00091-8 [pii] AID - 10.1016/j.jmpt.2009.03.004 [doi] PST - ppublish SO - J Manipulative Physiol Ther. 2009 May;32(4):326; author reply 326-7. doi: 10.1016/j.jmpt.2009.03.004. PMID- 18928392 OWN - NLM STAT- MEDLINE DA - 20081107 DCOM- 20081229 IS - 1557-7708 (Electronic) IS - 1075-5535 (Linking) VI - 14 IP - 8 DP - 2008 Oct TI - Omega-3 fatty acid: a role in the management of cardiac arrhythmias? PG - 965-74 LID - 10.1089/acm.2007.0765 [doi] AB - OBJECTIVE: The objective of this study was to review and evaluate published evidence on the use of omega-3 fatty acid in the prevention and treatment of atrial and ventricular arrhythmias. Postulated mechanisms of the antiarrhythmic effects of omega-3 fatty acid are discussed. DATA SOURCES: Peer-reviewed articles/abstracts published in English language were identified from MEDLINE and Current Content databases (both 1966 to May 15, 2008) using the search terms fish oil, omega-3 fatty acid, sudden death, ventricular arrhythmia, and atrial fibrillation. Citations from available articles were also reviewed for additional references. Abstracts presented at recent professional meetings are also reviewed. STUDY SELECTION AND DATA EXTRACTION: Observational studies and interventional clinical studies published on omega-3 fatty acid or fish consumption and atrial or ventricular arrhythmias and sudden cardiac death are selected. The design and results of the studies are evaluated. DATA SYNTHESIS: Several mechanisms have been postulated to explain the antiarrhythmic effect of omega-3 fatty acid. It is believed that omega-3 fatty acid has an indirect effect on the autonomic nervous system, inhibits the fast, voltage-dependent sodium and L-type calcium channels, restores a favorable omega-6 fatty acid/omega-3 fatty acid balance, and exerts anti-inflammatory effects. While the majority of observational evidence demonstrated that increased consumption of omega-3 fatty acid was associated with reduction in risk of sudden cardiac death, in ventricular arrhythmia, there was evidence suggesting that omega-3 fatty acid in patients experiencing nonischemic ventricular arrhythmia may be proarrhythmic. Other studies demonstrated a neutral effect. In terms of management of atrial fibrillation, short-term small-scale studies demonstrated that the use of omega-3 fatty acid preoperatively may reduce the incidence of postoperative atrial fibrillation. However, such observations were not consistent with those reported from retrospective cohorts. CONCLUSIONS: Additional studies are needed to evaluate the effect of omega-3 fatty acid before it can be routinely recommended for the management of arrhythmia. FAU - Cheng, Judy W M AU - Cheng JW AD - Department of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, USA. judy.cheng@mcphs.edu FAU - Santoni, Francesco AU - Santoni F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Altern Complement Med JT - Journal of alternative and complementary medicine (New York, N.Y.) JID - 9508124 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Fatty Acids, Omega-3) SB - IM MH - Anti-Arrhythmia Agents/pharmacology/*therapeutic use MH - Arrhythmias, Cardiac/*drug therapy/prevention & control MH - Atrial Fibrillation/*drug therapy/prevention & control MH - Clinical Trials as Topic MH - Dietary Supplements MH - *Evidence-Based Medicine MH - Fatty Acids, Omega-3/pharmacology/*therapeutic use MH - Heart Atria/drug effects MH - Heart Rate/drug effects MH - Humans MH - Research Design RF - 43 EDAT- 2008/10/22 09:00 MHDA- 2008/12/30 09:00 CRDT- 2008/10/22 09:00 AID - 10.1089/acm.2007.0765 [doi] PST - ppublish SO - J Altern Complement Med. 2008 Oct;14(8):965-74. doi: 10.1089/acm.2007.0765. PMID- 18616066 OWN - NLM STAT- MEDLINE DA - 20080711 DCOM- 20080923 IS - 1078-6791 (Print) IS - 1078-6791 (Linking) VI - 14 IP - 4 DP - 2008 Jul-Aug TI - The efficacy of healing touch in coronary artery bypass surgery recovery: a randomized clinical trial. PG - 24-32 AB - CONTEXT: The use of complementary therapies in conjunction with conventional care has great potential to address patient pain, complication rates, and recovery time. Few studies of such therapies have been conducted in hospital settings where some of the most stressful procedures are performed on a regular basis. OBJECTIVE: We hypothesized that patients receiving healing touch (HT) would see improved outcomes. DESIGN: Patients were randomized into 1 of 3 treatment groups: no intervention, partial intervention (visitors), and an HT group. SETTING: This study was conducted in an acute-care hospital in a large metropolitan area. PATIENTS OR OTHER PARTICIPANTS: Patients undergoing first-time elective coronary artery bypass surgery were invited to participate. There were 237 study subjects. INTERVENTION: HT is an energy-based therapeutic approach to healing that arose out of nursing in the early 1980s. HT aids relaxation and supports the body's natural healing process. MAIN OUTCOME MEASURES: This study consisted of 6 outcome measures: postoperative length of stay, incidence of postoperative atrial fibrillation, use of anti-emetic medication, amount of narcotic pain medication, functional status, and anxiety. RESULTS: Analysis was conducted for all patients and separately by inpatient/outpatient status. Though no significant decrease in the use of pain medication, anti-emetic medication, or incidence of atrial fibrillation was observed, significant differences were noted in anxiety scores and length ofstay. All HT patients showed a greater decrease in anxiety scores when compared to the visitor and control groups. In addition, there was a significant difference in outpatient HT length of stay when compared to the visitor and control groups. FAU - MacIntyre, Barb AU - MacIntyre B AD - Cardiovascular Telemetry, HealthEast Saint Joseph's Hospital, St Paul, Minnesota, USA. FAU - Hamilton, Jane AU - Hamilton J FAU - Fricke, Theresa AU - Fricke T FAU - Ma, Wenjun AU - Ma W FAU - Mehle, Susan AU - Mehle S FAU - Michel, Matt AU - Michel M LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Altern Ther Health Med JT - Alternative therapies in health and medicine JID - 9502013 SB - IM MH - Aged MH - Anxiety/etiology/*prevention & control MH - Coronary Artery Bypass/*rehabilitation MH - Female MH - *Holistic Health MH - Humans MH - Length of Stay/statistics & numerical data MH - Male MH - Middle Aged MH - Pain Measurement/methods MH - Pain, Postoperative/therapy MH - Patient Satisfaction MH - Postoperative Care/*methods MH - Postoperative Complications/*therapy MH - Recovery of Function MH - Therapeutic Touch/*methods MH - Treatment Outcome EDAT- 2008/07/12 09:00 MHDA- 2008/09/24 09:00 CRDT- 2008/07/12 09:00 PST - ppublish SO - Altern Ther Health Med. 2008 Jul-Aug;14(4):24-32. PMID- 18356799 OWN - NLM STAT- MEDLINE DA - 20080321 DCOM- 20080722 LR - 20150615 IS - 0964-5284 (Print) IS - 0964-5284 (Linking) VI - 26 IP - 1 DP - 2008 Mar TI - Possible effects of acupuncture on atrial fibrillation and post-herpetic neuralgia--a case report. PG - 51-6 AB - A 72 year old female with a main complaint of severe post-herpetic neuralgia and a secondary complaint of atrial fibrillation (AF) received two series of acupuncture treatments totalling 20 treatments over a four month period. Her standard medical treatment remained unchanged. The primary focus of the acupuncture was pain relief; however, two acupuncture points (PC6, SP4) were included in both treatment series because of possible effects on both costal or chest pain and cardiac arrhythmias, according to Traditional Chinese Medicine (TCM) teaching and limited research. As recorded by her pacemaker, estimated weekly episodes of AF in the patient decreased significantly, and percentage time in AF decreased with borderline statistical significance, from the pretreatment estimates during the second series of treatments (weekly AF episode estimates: pretreatment=71.4; second series=16.5, difference estimates=-54.9, 95% CI -6.5 to -103.3, P=0.02; percentage time in AF estimates: pretreatment=30.6; 2 second series=18.0, difference estimates=-12.6, 95% CI 0.9 to -26.0, P=0.08). The pain levels were also significantly reduced following the acupuncture treatment series by more than 67%. Further studies are warranted to further explore these observations of a possible effect of acupuncture on both atrial fibrillation and post-herpetic neuralgia. FAU - Valaskatgis, Peter AU - Valaskatgis P AD - New England School of Acupuncture, Newton, MA, USA. peterval@comcast.net FAU - Macklin, Eric A AU - Macklin EA FAU - Schachter, Steven C AU - Schachter SC FAU - Wayne, Peter M AU - Wayne PM LA - eng GR - 5 U19 AT002022-02/AT/NCCIH NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Acupunct Med JT - Acupuncture in medicine : journal of the British Medical Acupuncture Society JID - 9304117 SB - IM MH - Acupuncture Analgesia MH - Acupuncture Therapy/*methods MH - Aged MH - Atrial Fibrillation/etiology/*therapy MH - Cardiac Pacing, Artificial/adverse effects MH - Facial Pain/etiology/*therapy MH - Female MH - Humans MH - Neuralgia, Postherpetic/complications/*therapy MH - Treatment Outcome EDAT- 2008/03/22 09:00 MHDA- 2008/07/23 09:00 CRDT- 2008/03/22 09:00 PST - ppublish SO - Acupunct Med. 2008 Mar;26(1):51-6. PMID- 17954385 OWN - NLM STAT- MEDLINE DA - 20071023 DCOM- 20080201 IS - 1475-4916 (Print) IS - 1475-4916 (Linking) VI - 96 IP - 4 DP - 2007 Oct TI - Atrial paroxysmal tachycardia in dogs and its management with homeopathic Digitalis--two case reports. PG - 270-2 AB - Homeopathic Digitalis 6c was evaluated in two clinical cases of atrial paroxysmal tachycardia in dogs. Tachycardias are common cardiac problems in dogs, and atrial paroxysmal tachycardia is a serious cardiac arrhythmia that may lead to syncope. Both adult dogs (Labrador and German Shepherd) were treated with Digitalis 6c, 4 drops orally four times daily for 7 days. Following treatment with Digitalis 6c heart rate stabilised and synchronized atrial and ventricular electrical activity was restored in 7 days. FAU - Varshney, J P AU - Varshney JP AD - Division of Medicine, Indian Veterinary Research Institute, Izatnagar 243 122, India. jpvarshney@gmail.com FAU - Chaudhuri, S AU - Chaudhuri S LA - eng PT - Case Reports PT - Journal Article PL - Scotland TA - Homeopathy JT - Homeopathy : the journal of the Faculty of Homeopathy JID - 101140517 RN - 0 (Anticonvulsants) RN - 0 (Plant Extracts) SB - IM MH - Animals MH - Anticonvulsants/therapeutic use MH - Atrial Fibrillation/therapy/*veterinary MH - *Atropa belladonna MH - Dog Diseases/*drug therapy MH - Dogs MH - Female MH - Homeopathy/*methods MH - Male MH - Phytotherapy MH - Plant Extracts/therapeutic use MH - Research Design MH - Tachycardia, Paroxysmal/drug therapy/*veterinary MH - Treatment Outcome EDAT- 2007/10/24 09:00 MHDA- 2008/02/02 09:00 CRDT- 2007/10/24 09:00 PHST- 2007/01/17 [received] PHST- 2007/08/20 [revised] PHST- 2007/08/20 [accepted] AID - S1475-4916(07)00106-3 [pii] AID - 10.1016/j.homp.2007.08.017 [doi] PST - ppublish SO - Homeopathy. 2007 Oct;96(4):270-2. PMID- 17393628 OWN - NLM STAT- MEDLINE DA - 20070330 DCOM- 20090428 LR - 20101103 IS - 0255-2922 (Print) IS - 0255-2922 (Linking) VI - 27 IP - 1 DP - 2007 Mar TI - The TCM stage-oriented treatment for chronic cardiac insufficiency. PG - 49-54 AB - Generally, heart failure at the stable stage can be treated mainly with TCM drugs. Cardiac insufficiency of degree I and II can be simply treated with Chinese drugs. However, the western medicine ACEI is suggested to be used at the same time. For heart failure of degree III, measures of the western medical treatment should be adopted accordingly, such as the use of diuretics or Digoxin to control atrial fibrillation; beta-receptor blockers to increase the density of beta-receptor on the depleted myocardial cell membrane, so as to increase the sensitivity of the myocardial cells to CA, and effectively prevent the fatal ventricular fibrillation. At the acute aggravation stage of cardiac insufficiency, the inducing factors should be first eliminated to control the condition as soon as possible; and at the critical moment, modern medicine should be used. In case of acute pulmonary edema, emergency treatment should be given to save the patient's life. When the acute pulmonary edema is alleviated, Chinese drugs can be used, based on the TCM syndrome differentiation, mainly for removing the pathogenic fluid retention, and restoring the heart-qi and heart-yang. FAU - Jiang, Meixian AU - Jiang M AD - Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - J Tradit Chin Med JT - Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan / sponsored by All-China Association of Traditional Chinese Medicine, Academy of Traditional Chinese Medicine JID - 8211546 RN - 0 (Cardiotonic Agents) RN - 0 (Diuretics) RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Cardiotonic Agents/therapeutic use MH - Chronic Disease/therapy MH - Diuretics/therapeutic use MH - Drug Therapy, Combination MH - Drugs, Chinese Herbal/*therapeutic use MH - Heart Failure/*drug therapy/pathology MH - Humans MH - *Medicine, Chinese Traditional EDAT- 2007/03/31 09:00 MHDA- 2009/04/29 09:00 CRDT- 2007/03/31 09:00 PST - ppublish SO - J Tradit Chin Med. 2007 Mar;27(1):49-54. PMID- 17370488 OWN - NLM STAT- MEDLINE DA - 20070320 DCOM- 20070417 LR - 20131121 IS - 0255-2930 (Print) IS - 0255-2930 (Linking) VI - 27 IP - 2 DP - 2007 Feb TI - [Comparison between therapeutic effects of acupuncture and intravenous injection of amiodarone in the treatment of paroxymal atrial fibrillation and atrial flutter]. PG - 96-8 AB - OBJECTIVE: To probe the feasibility of acupuncture in conversion of paroxymal atrial fibrillation and atrial flutter. METHODS: Eighty cases of atrial fibrillation and atrial flutter were randomly divided into 2 groups, a treatment group and a control group, 40 cases in each group. The treatment group were treated with acupuncture at Neiguan (PC 6), Shenmen (HT 7), Danzhong (CV 17) and others, and the control group with intravenous injection of amiodarone. The cardiac rhythms and side effects were observed in the two groups. RESULTS: The total effective rate of 85.0% in the treatment group was better than 67.5% in the control group (P < 0.01). The average conversion time was (39.6 +/- 13.7) min in the treatment group and (50.1 +/- 14.8) min in the control group with a significant difference between the two groups (P < 0.01). No adverse effect was found in the treatment group. CONCLUSION: Acupuncture is a safe and effective therapy for conversion of paroxymal atrial fibrillation and atrial flutter. FAU - Xu, Hong-Ke AU - Xu HK AD - Liaocheng Hospital of TCM, Shandong 252000, China. zcl@lcu.edu.cn FAU - Zhang, Yue-Feng AU - Zhang YF LA - chi PT - Comparative Study PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Zhongguo Zhen Jiu JT - Zhongguo zhen jiu = Chinese acupuncture & moxibustion JID - 8600658 RN - 0 (Anti-Arrhythmia Agents) RN - N3RQ532IUT (Amiodarone) SB - IM MH - *Acupuncture Therapy MH - Aged MH - Amiodarone/administration & dosage/*therapeutic use MH - Anti-Arrhythmia Agents/*therapeutic use MH - Atrial Fibrillation/*therapy MH - Atrial Flutter/*therapy MH - Female MH - Humans MH - Injections, Intravenous MH - Male MH - Middle Aged EDAT- 2007/03/21 09:00 MHDA- 2007/04/18 09:00 CRDT- 2007/03/21 09:00 PST - ppublish SO - Zhongguo Zhen Jiu. 2007 Feb;27(2):96-8. PMID- 16983923 OWN - NLM STAT- MEDLINE DA - 20060920 DCOM- 20080102 LR - 20131121 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 26 IP - 7 DP - 2006 Jul TI - [Effect of combination of Chinese and Western medicines on sinus rhythm maintenance in patients with auricular fibrillation after conversion]. PG - 644-6 AB - OBJECTIVE: To investigate the curative effects of irbesartan, amiodarone and Wenxin Granule (WG), applied alone or in combination, on sinus rhythm maintenance in patients with auricular fibrillation (AF) after conversion. METHODS: Forty-one patients of persistent AF, after their fibrillation being converted, were divided into three groups randomly, and treated with amiodarone (group A, n=14), irbesartan and amiodarone (group B, n=15), and WG plus irbesartan and amiodarone (group C, n=12) respectively for 6 months. RESULTS: Compared with that before treatment, the inner diameter of atria sinistrum reduced in group B and C, and the reduction in the latter was superior to that in the former (P < 0.05); the diameter of left ventricle also reduced in group C (P < 0.05); and the maintenance rate of sinus rhythm was higher in group C than that in group A (P < 0.05). CONCLUSION: Combined therapy of Chinese and Western medicines shows synergistic effect of anti-arrhythmia. FAU - Xie, Pei-yi AU - Xie PY AD - Department of Cardiology, Tongde Hospital, Hangzhou. xiepiyi@163.com FAU - Shen, Sheng-hui AU - Shen SH LA - chi PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Biphenyl Compounds) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Tetrazoles) RN - 138402-11-6 (irbesartan) RN - N3RQ532IUT (Amiodarone) SB - IM MH - Aged MH - Amiodarone/therapeutic use MH - Anti-Arrhythmia Agents/*therapeutic use MH - Atrial Fibrillation/*drug therapy MH - Biphenyl Compounds/therapeutic use MH - Drug Therapy, Combination MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Phytotherapy MH - Tetrazoles/therapeutic use EDAT- 2006/09/21 09:00 MHDA- 2008/01/03 09:00 CRDT- 2006/09/21 09:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Jul;26(7):644-6. PMID- 16949949 OWN - NLM STAT- MEDLINE DA - 20060904 DCOM- 20061003 LR - 20071115 IS - 1532-6586 (Electronic) IS - 0161-4754 (Linking) VI - 29 IP - 7 DP - 2006 Sep TI - Spinal epidural hematoma after spinal manipulative therapy in a patient undergoing anticoagulant therapy: a case report. PG - 582-5 AB - OBJECTIVE: We report on the case of a patient with spinal epidural hematoma (SEH) after spinal manipulative therapy and review features of reported cases of a similar nature. CLINICAL FEATURES: The patient was undergoing Coumadin anticoagulant therapy for atrial fibrillation and presented to the chiropractor complaining of a stiff neck. After cervical manipulation, he developed paresthesia in both feet, progressing to motor deficits in all 4 extremities. He required a laminectomy and evacuation of a clot indenting the spinal cord. RESULTS: Review of the literature revealed 7 reported cases of SEH after manipulation; 5 patients underwent cervical manipulation and 1 patient received Coumadin therapy. CONCLUSION: Practitioners of spinal manipulative therapy should be aware of SEH as a possible complication of manipulation in patients at risk and should exercise caution in the care of patients undergoing anticoagulant therapy. FAU - Whedon, James M AU - Whedon JM AD - Trauma Program, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. james.m.whedon@hitchcock.org FAU - Quebada, Patricia B AU - Quebada PB FAU - Roberts, David W AU - Roberts DW FAU - Radwan, Tarek A AU - Radwan TA LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - J Manipulative Physiol Ther JT - Journal of manipulative and physiological therapeutics JID - 7807107 RN - 0 (Anticoagulants) SB - IM MH - Aged MH - Anticoagulants/*adverse effects MH - Atrial Fibrillation/drug therapy MH - Heart Failure/drug therapy MH - Hematoma, Epidural, Spinal/diagnosis/*etiology/surgery MH - Humans MH - Male MH - Manipulation, Chiropractic/*adverse effects RF - 24 EDAT- 2006/09/05 09:00 MHDA- 2006/10/04 09:00 CRDT- 2006/09/05 09:00 PHST- 2005/10/01 [received] PHST- 2005/11/08 [revised] PHST- 2005/11/13 [accepted] AID - S0161-4754(06)00180-1 [pii] AID - 10.1016/j.jmpt.2006.06.017 [doi] PST - ppublish SO - J Manipulative Physiol Ther. 2006 Sep;29(7):582-5. PMID- 16883915 OWN - NLM STAT- MEDLINE DA - 20060803 DCOM- 20071228 LR - 20131121 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 26 IP - 5 DP - 2006 May TI - [Clinical observation on effect and safety of combined use of wenxin granule and amiodarone for conversion of auricular fibrillation]. PG - 445-8 AB - OBJECTIVE: To observe the clinical effect of the combined use of amiodarone and Wenxin Granule (WXG) in auricular fibrillation (AF) conversion and its safety. METHODS: Two hundred and twenty-four patients, in whom AF lasted for less than 1 year, were enrolled and randomly assigned into two groups, 112 in each group. Patients in the treated group were treated with WXG and amiodorane and the others in the control group were orally administered with amiodarone alone. The accumulative conversion rate of AF and adverse reaction were monitored during the 6-month observation period. RESULTS: Six-month observation was completed in 109 cases in the treated group and 107 in the control group, while 3 cases and 5 cases in the two groups were dropped out respectively. The difference of accumulative AF conversion rates between the two groups become significant early after one month medication (P < 0.05), and was 65.1% and 47.7% respectively after 6-month of treatment (P < 0.05). Inter-group significant difference was also shown in the aspects of average conversion time, dosage of amiodarone required and the occurrence of adverse reaction (P < 0.05). CONCLUSION: Combined use of WXG and amiodarone has a better effect in improving conversion rate of AF, shortening conversion time and decreasing the required dosage of amiodarone in treating AF as compared with the treatment with amiodarone alone, and by which the adverse reaction of long-term using amiodarone could be avoided. FAU - Wang, Min AU - Wang M AD - Department of Cardiology, Zhejiang Provincial Hospital of Integrative Traditional Chinese and Western Medicine, Hangzhou. wangmindoctor@sina.com FAU - Yu, Yi-bo AU - Yu YB FAU - Huang, Shi-en AU - Huang SE LA - chi PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Drugs, Chinese Herbal) RN - N3RQ532IUT (Amiodarone) SB - IM MH - Aged MH - Amiodarone/adverse effects/*therapeutic use MH - Anti-Arrhythmia Agents/therapeutic use MH - Atrial Fibrillation/*drug therapy MH - Drug Therapy, Combination MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Phytotherapy MH - Safety EDAT- 2006/08/04 09:00 MHDA- 2007/12/29 09:00 CRDT- 2006/08/04 09:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 May;26(5):445-8. PMID- 16409967 OWN - NLM STAT- MEDLINE DA - 20060113 DCOM- 20060801 LR - 20121115 IS - 1672-1977 (Print) IS - 1672-1977 (Linking) VI - 4 IP - 1 DP - 2006 Jan TI - [Effects of tetramethylpyrazine on fibrosis of atrial tissue and atrial fibrillation in a canine model of congestive heart failure induced by ventricular tachypacing]. PG - 35-8 AB - OBJECTIVE: To explore the effects of tetramethylpyrazine (TMP) on fibrosis of atrial tissue and atrial fibrillation in a canine model of congestive heart failure (CHF) induced by ventricular tachypacing. METHODS: Twenty-one healthy mongrel dogs were randomly divided into three groups, which were normal control group, untreated group and TMP-treated group. Atrial fibrillation (AF) was induced by burst of atrial pacing, after the canine model of CHF was established. The atrial tissues were sampled and stained with Mallory's trichromic stains, then the fibrosis in the atrial tissues was analyzed. The left ventricular ejection fraction (LVEF) was evaluated by echocardiography. The levels of angiotensin II (AngII), aldosterone (ALD), amino-terminal peptide of type III procollagen (PIIINP)ilaminin (LN) and hyaluronic acid (HA) in peripheral blood were examined by radioimmunoassay. RESULTS: The LVEF was significantly decreased in the untreated group as compared with that in the normal control group (P<0.01), while the frequencies of AF and sustaining AF were significantly increased and the AF duration was obviously prolonged in the untreated group as compared with those in the normal control group (P<0.01). The fibrosis degree in the left or right atrial tissue in the untreated group was more serious than that in the normal control group (P<0.01). The AF duration was positively correlated with the fibrosis degree in the left atrial tissue (r=0.84, P=0.018). The levels of AngII, ALD, PIIINP and HA in peripheral blood were significantly higher in the untreated group than those in the normal control group (P<0.05 or P<0.01). The level of AngII was positively correlated with the level of ALD in peripheral blood (r=0.759, P=0.048). The LVEF and the frequency of sustaining AF were both significantly improved in the TMP-treated group as compared with those in the untreated group (P<0.05). The fibrosis in the left or right atrial tissue in the untreated group was more serious than that in the untreated group (P<0.01). The levels of AngII and PIIINP in peripheral blood were also markedly higher in the TMP-treated group than those in the untreated group (P=0.05, P=0.01). CONCLUSION: Tetramethylpyrazine has the effect of reducing the fibrosis degree of atrial tissue in dogs with CHF, and this efficacy may be related to the mechanism of decreasing the frequency of AF and shortening the AF duration. FAU - Lin, Ya-Zhou AU - Lin YZ AD - Department of Cardiology, Fujian Provincial Research Institute for Cardiovascular Diseases, Fujian Provincial Hospital, Fuzhou, Fujian Province 350001, China. asialin@sina.com FAU - Xu, Chun-Xuan AU - Xu CX FAU - Deng, Yu-Lian AU - Deng YL FAU - Chen, Lin AU - Chen L FAU - Huang, Hai AU - Huang H FAU - Du, Jian AU - Du J LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhong Xi Yi Jie He Xue Bao JT - Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine JID - 101199657 RN - 0 (Pyrazines) RN - V80F4IA5XG (tetramethylpyrazine) SB - IM MH - Animals MH - Atrial Fibrillation/complications/*drug therapy MH - Cardiac Pacing, Artificial MH - Dogs MH - Female MH - Fibrosis/prevention & control MH - Heart Atria/*pathology MH - Heart Failure/complications/*drug therapy MH - Male MH - Pyrazines/pharmacology/*therapeutic use MH - Random Allocation EDAT- 2006/01/18 09:00 MHDA- 2006/08/02 09:00 CRDT- 2006/01/18 09:00 AID - 475 [pii] PST - ppublish SO - Zhong Xi Yi Jie He Xue Bao. 2006 Jan;4(1):35-8. PMID- 16248254 OWN - NLM STAT- MEDLINE DA - 20051026 DCOM- 20071218 LR - 20121115 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 25 IP - 9 DP - 2005 Sep TI - [Occurrence and prevention of adverse reaction induced by puerarin injection]. PG - 852-5 AB - In this paper, literature about adverse reaction induced by Puerarin injection published in recent years were reviewed and analyzed. It was reported that Puerarin injection can not only induce adverse reactions on multiple systems, such as immune, blood, urinary, digestive and cardiovascular system, but so far as to cause death. Therefore, it should be administered rationally and strictly according to the direction and the course of medication should be rigorously monitored to prevent the occurrence of adverse reactions. FAU - Liu, Shao-de AU - Liu SD AD - Department of Pharmaceutics, Liugang Hospital of Liuzhou City, Guangxi. Lieon7.0@163.com FAU - Mo, Hui-ping AU - Mo HP LA - chi PT - Case Reports PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 RN - 0 (Isoflavones) RN - 0 (Vasodilator Agents) RN - Z9W8997416 (puerarin) SB - IM MH - Aged MH - Anaphylaxis/*chemically induced/prevention & control MH - Anemia, Hemolytic/*chemically induced/prevention & control MH - Atrial Fibrillation/*chemically induced/prevention & control MH - Female MH - Humans MH - Injections, Intravenous MH - Isoflavones/*adverse effects MH - Male MH - Middle Aged MH - Vasodilator Agents/adverse effects EDAT- 2005/10/27 09:00 MHDA- 2007/12/19 09:00 CRDT- 2005/10/27 09:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005 Sep;25(9):852-5. PMID- 8111194 OWN - NLM STAT- MEDLINE DA - 19940330 DCOM- 19940330 LR - 20151119 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 13 IP - 8 DP - 1993 Aug TI - [Rotundium in the treatment of atrial fibrillation]. PG - 455-7, 451 AB - L-tetrahydropalmatine (Rotundium) is an alkaloid of Corydalis turtschaninovii. Some animal experiments had demonstrated that Rotundium had a good antiarrhythmic effect in blocking the calcium channel and that it was a class IV antiarrhythmic agent, similar to that of Bepridil in literatures. This is a clinical report of Rotundium (oral given) on an atrial fibrillation (AF) patients. The therapeutical results were evaluated by 24 hours ambulatory electrocardiographic monitoring and ECG. The results showed that the effective rate of Rotundium on paroxysmal atrial fibrillation and sustained atrial fibrillation of 45 mm (left atrium diameter) or more was 30%, while LAD of less than 45 mm was 80% (P < 0.01). Among 8 cases' duration of AF were 6 months or more, 3 cases were effective, the effective rate 37.5%, while among 10 cases' duration of AF were less than 3 weeks, 3 cases were converted to sinus rhythm, 5 cases were effective. There was a significant difference between two groups. Age and sex exerted no effect on efficacy. During taking Rotundium, blood pressure had no apparent changes and no severe side effects were found. The results showed that Rotundium is an effective, safe new drug to treat AF, especially in paroxysmal atrial fibrillation. The antiarrhythmic mechanism of Rotundium might be related to its prolonging of the effective refractory period of atrial and atrioventricular node. FAU - Wang, D J AU - Wang DJ AD - Inst. of Cardiovascular diseases, Tongji Medical University, Wuhan. FAU - Mao, H Y AU - Mao HY FAU - Lei, M AU - Lei M LA - chi PT - English Abstract PT - Journal Article PL - CHINA TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban JID - 9211576 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Berberine Alkaloids) RN - 0 (Calcium Channel Blockers) RN - 0 (Drugs, Chinese Herbal) RN - 3X69CO5I79 (tetrahydropalmatine) SB - IM MH - Adult MH - Aged MH - Anti-Arrhythmia Agents/*therapeutic use MH - Atrial Fibrillation/*drug therapy MH - Berberine Alkaloids/*therapeutic use MH - Calcium Channel Blockers/therapeutic use MH - Drugs, Chinese Herbal/therapeutic use MH - Electrocardiography, Ambulatory MH - Female MH - Humans MH - Male MH - Middle Aged EDAT- 1993/08/01 MHDA- 1993/08/01 00:01 CRDT- 1993/08/01 00:00 PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Aug;13(8):455-7, 451.