Atrial fibrillation cardioversion following acupuncture

Dilber, Dario; Čerkez-Habek, Jasna; Barić, Hrvoje; Gradišer, Marina

doi:10.15537/smj.2015.11.12891

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…Dilber et al showed that when a 57 years old patient with paroxysmal AF was treated with acupuncture after other methods failed to convert AF, it successfully converted AF to sinus rhythm. During 30 days follow up, there was no AF recurrence in the patients after sinus rhythm was established by acupuncture combined with peroral propafenone [20]. These experiments illustrated that acupuncture was effective in treating AF patients, but they were not completely randomised controlled trials (RCTs), and the cases of AF were few.…”

Section: Discussionmentioning

confidence: 99%

Systematic Evaluation of Efficacy and Safety of Acupuncture Treatment for Patients with Atrial Fibrillation

Yu¹,

Fei²,

Zhang³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Atrial fibrillation (AF) is one of the most common types of arrhythmia diagnosed in clinical practice. Due to its negative effects on people's physical and mental health, it is necessary to prevent and treat AF. Recently, scholars have found that acupuncture can be used to treat AF, but some scholars have questioned its therapeutic efficacy. AIM: Therefore, this study was performed to assess the efficacy and safety of acupuncture treatment for AF patients. METHODS: Previously published research articles were retrieved from six databases, and the data was analysed using RevMan5.3 software with a statistically significant difference defined as P < 0.05. RESULTS: A total of 8 relevant kinds of literature were retrieved containing 633 AF patients (323 in the treatment group and 310 in the control group). Acupuncture treatment increased the total efficacy and the rate of AF cardioversion to sinus rhythm (RR: 1.38; 95% CI: 1.25 to 1.53 vs RR: 1.40;95% CI: 1.16 to 1.69; each P < 0.05), and decreased the time of AF cardioversion to sinus rhythm, the heart rate and incidence of adverse effects (RR: -3.95; 95% CI: -4.98 to -2.91 vs RR: -14.54; 95% CI: -24.09 to -5.00 vs RR: 0.48; 95% CI: 0.21 to 1.11, each P < 0.05). There was difference between retention time more and less than 30 minutes (I2 = 74.9%, P = 0.05). The funnel plot displayed a symmetrical and funnel-form shape, indicating low bias. CONCLUSION: Acupuncture has a good therapeutic effect and safety profile on patients with AF, and its application in clinical practice should be considered.

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Section: Discussionmentioning

confidence: 99%

Systematic Evaluation of Efficacy and Safety of Acupuncture Treatment for Patients with Atrial Fibrillation

Yu¹,

Fei²,

Zhang³

et al. 2019

Open Access Maced J Med Sci

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“…Lifting and thrusting Dilber et al [34] Filiform needle acupuncture Zusanli, Shenmen, and Neiguan Patients with paroxysmal atrial fibrillation…”

Section: Minmentioning

confidence: 99%

“…Acupoint selection focuses on the interaction between the circulation of meridians and the use of specific acupoints. The main acupoints for AF are Neiguan (PC6), Qihai (RN6), Zhongwan (RN12) and Danzhong (RN17) points, and the highest selection frequency acupoint is Neiguan (PC6) point [18][19][25][26][27][28][29][30][31][32][33][34] (Table 1). Neiguan (PC6) point, as the collateral point of the pericardium meridian, is frequently used to regulate qi and blood in the heart, and the core prescriptions of acupoint compatibility are Danzhong (RN17), Xinshu (BL15) and Neiguan (PC6) points [19] .…”

Section: Introductionmentioning

confidence: 99%

Research progress on central autonomic nervous mechanism of acupuncture at Neiguan point in the treatment of atrial fibrillation

Huang

Yan

Wang

et al. 2023

Acupuncture and Herbal Medicine

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Atrial fibrillation (AF) is the most common arrhythmia disease and is associated with several cardiovascular and cerebrovascular diseases. Consequently，the mortality rate of AF has increased in recent years. At present, the treatment of AF is mainly based on medication and radiofrequency ablation, but there are limitations such as adverse reactions and high recurrence rates. Recently, autonomic nervous regulation has become a new treatment for AF. Our previous study showed that acupuncture at Neiguan (PC6) point can treat AF by regulating autonomic balance. The autonomic nervous system can be structurally divided into the central autonomic nervous (CAN) and the peripheral autonomic nervous（PAN）. Several studies have shown a correlation between acupuncture and the treatment of AF and CAN. In the clinic the positive effect of acupuncture on AF has been realized gradually, and growing experimental studies have further discovered the potential mechanism of acupuncture on AF by regulating the CAN. Therefore, this review mainly focuses on summarizing the CAN mechanism related to acupuncture in the treatment of AF to provide new ideas and directions for the treatment of AF.

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“…Acupuncture and AF Published data also shows that "acupuncture treatment prevents arrhythmic recurrences after cardioversion in patients with persistent AF. This minimally invasive procedure is safe and well tolerated" (10,11,12,13), Integrated (serial) acupuncture treatments have resulted in AF cessation.…”

Section: Glycogen and Afmentioning

confidence: 99%

Beneficial Effects of Magnetic Fields on the Human Heart a Review of Current Advances and Proposed Mechanisms

Bs¹

2018

Int. J. Res. Granthaalayah

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The main purpose of this manuscript is to introduce the reader to the present “state of the art” in experimental Low Level Magnetic Fields nerve stimulation approaches to improve chaotic cardiac arrhythmias and muscle contractions. The area addressed in this paper is the transcutaneous application of Low Level Magnetic Fields to a branch of the vagus nerve. Cardiac Arrhythmias such as Atrial Fibrillation, as well as and muscle contractility were reversed by Low Level Transcutaneous Stimulation (LL-TS) of the Auricular Branch of the Vagus Nerve (ABVN). This treatment has been successfully reported in humans as well as in awaken and anesthetized animals such as rodents and dogs. The functional improvement has been attributed to a reversal of cardiac myocytes remodeling (reversal of fibrosis) resulting from experimentally provoking induced rapid heartbeats. The prolonged duration of a tachycardia state induces intracellular accumulation of glycogen leading into fibrosis, this in turn is hypothesized to impede the intercellular electrical communications of the specialized cardiac cells. It also reduces the functional ability of the main pumping chamber (Left Ventricle).

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Atrial fibrillation cardioversion following acupuncture

Cited by 4 publications

References 9 publications

Systematic Evaluation of Efficacy and Safety of Acupuncture Treatment for Patients with Atrial Fibrillation

Systematic Evaluation of Efficacy and Safety of Acupuncture Treatment for Patients with Atrial Fibrillation

Research progress on central autonomic nervous mechanism of acupuncture at Neiguan point in the treatment of atrial fibrillation

Beneficial Effects of Magnetic Fields on the Human Heart a Review of Current Advances and Proposed Mechanisms

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