Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention

민, 선우; 김, 학겸; 문, 지성; 김, 예슬; 박, 지윤; 정, 지천

doi:10.22246/jikm.2021.42.2.184

J Int Korean Med

2021

DOI: 10.22246/jikm.2021.42.2.184

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Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention

선우 민¹,

학겸 김²,

지성 문³

et al.

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Cited by 2 publications

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“…인구 고령화에 따른 만성 질환 증가로 전통의약 에 대한 세계적인 관심과 수요가 커지고 있는 10 현 시점에서 PCI 후 발생하는 ISR 및 기존 양약 복 용에 대한 한계점을 한약 치료를 통해 보완할 수 있는 지에 대한 연구들이 이루어지고 있다. 다만, 국내에서는 PCI 후 흉통 환자의 한약치료에 대한 단편적 증례보고 연구 1편 11 만이 발표되었다. 국외 에서는 비교적 다양한 연구가 이루어졌으나 개별 한약 12,13 혹은 효능별 분류한 한약 [14][15][16] 을 중재로 이 뤄진 연구가 다수였다.…”

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Effect of Herbal Medicines on Preventing Restenosis After Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Hur¹,

Ahn²,

Kim³

et al. 2023

J Int Korean Med

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Objective: This study was conducted to investigate the preventive effect of herbal medicines on restenosis after percutaneous coronary intervention (PCI) by reviewing randomized controlled trials (RCTs).Methods: RCTs were searched for herbal medicine treatment after PCI using eight online databases (PubMed, CNKI, Wanfang, J-STAGE, OASIS, ScienceON, KTKP, and KISS). Studies that confirmed restenosis through coronary angiography at follow-up were selected according to the inclusion and exclusion criteria. The primary outcome was the restenosis rate, and the secondary outcome was the angina recurrence rate. Data were extracted from the final selected studies according to the research methodology and then analyzed with Review Manager 5.4.1. Study quality was assessed using Cochrane’s risk-of-bias (RoB) tool.Results: Of the 252 papers obtained through the primary search, nine studies that met the selection criteria were finally selected. In these nine studies, herbal medicine combined with western medicine was used for the experimental group, and western medicine treatment was used alone for the control group. The meta-analysis result revealed that the restenosis rate and angina recurrence rate were significantly lower in the experimental group than in the control group (RR=0.34, 95% CI: 0.22-0.53, p<0.00001, <i>I</i>²=0% and RR=0.47, 95% CI: 0.29-0.78, p=0.004, <i>I</i>²=0%, respectively). Furthermore, the quality of studies assessed by Cochrane’s RoB was low.Conclusions: This study showed that the combined treatment of herbal medicine and western medicine was effective in preventing restenosis and angina after PCI. As the number of papers included in this study was small, a large number of high-quality clinical studies should be considered in the future.

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Effect of Herbal Medicines on Preventing Restenosis After Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Hur¹,

Ahn²,

Kim³

et al. 2023

J Int Korean Med

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A Patient with Dyspnea, Chest Pain and Fatigue due to Angina Pectoris Treated with Saengmaeg-san-hap-Bojungikgi-tang-gami : A Case Report

Park,

Moon,

Noh

2024

J Int Korean Med

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Objectives: This case report describes good clinical progress in a patient with symptoms related to angina pectoris treated with a herbal medication.Methods: The 66-year-old male patient hospitalized in Chonnam National University Hospital (CNUH) in May 2020 for symptoms of dyspnea and chest pain was diagnosed with angina pectoris, medicated, underwent PCI in August 2020, and continued to take the medicine prescribed at CNUH during hospitalization. Korean medical treatments, including herbal medicines (Saengmaeg-san-hap-Bojungikgi-tang-gami, Yeonggyechulgam-tang), acupuncture, and cupping therapy were administered for 22 days. Symptom severity was assessed with a daily visual analog scale (VAS) for dyspnea and chest pain and standard deviation of NN (SDNN) score of heart rate variability.Results: Post-treatment, severity of dyspnea, chest pain, and fatigue reduced from VAS 7 to VAS 2, VAS 6 to VAS 1, and VAS 7 to VAS 1, respectively. The SDNN score improved from 16.474 ms to 23.270 ms. There were no side effects from Korean medicine treatment.Conclusion: Traditional Korean treatment could effectively treat symptoms related to angina pectoris.

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Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention

Cited by 2 publications

References 4 publications

Effect of Herbal Medicines on Preventing Restenosis After Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Effect of Herbal Medicines on Preventing Restenosis After Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis of Randomized Controlled Trials

A Patient with Dyspnea, Chest Pain and Fatigue due to Angina Pectoris Treated with Saengmaeg-san-hap-Bojungikgi-tang-gami : A Case Report

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