Does acupuncture reduce the risk of acute myocardial infarction?

Leem, Jungtae

doi:10.1016/j.imr.2016.04.001

Cited by 4 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous study using a Taiwanese health insurance sample cohort, the HR for myocardial infarction was significantly lower in the acupuncture group than in the non-acupuncture group. 11 Acupuncture has been shown to be effective at reducing the risk of myocardial infarction and improving post-emergence recovery through mechanisms that promote the secretion of neurotransmitters in the central nervous system, which, in turn, regulates the cardiovascular system, 12 decreases oxidative stress, 20 and promotes angiogenesis. 21 These putative mechanisms of action could potentially explain why…”

Section: Discussionmentioning

confidence: 99%

“…9,10 Acupuncture has also been shown to be effective at reducing the risk of myocardial infarction and improving post-emergence recovery through mechanisms that promote the secretion of neurotransmitters in the central nervous system. 11,12 The effects of acupuncture on hypertension are known and the Korean national health insurance has covered acupuncture treatment for over 30 years; however, research using data from the Korean national cohort database on the effect of acupuncture on cardiovascular complications in hypertensive patients is limited. As complications of hypertension, such as ischemic heart disease, stroke and death, not only cause suffering but are also an economic burden to patients and their families, the management of hypertension to prevent severe complications is important to reduce socioeconomic loss.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of acupuncture on cardiovascular risks in patients with hypertension: a Korean cohort study

Jung

Lim

2020

Acupunct Med

View full text Add to dashboard Cite

Objectives The aim of this study was to investigate the effects of acupuncture on major adverse cardiovascular events (MACE), myocardial infarction, stroke and death in hypertensive patients taking anti-hypertensives. Methods Using the Korean National Health Insurance Service—National Sample Cohort (NHIS-NSC) database, this study identified 59,370 patients taking anti-hypertensives who had been diagnosed with hypertension between 2003 and 2006. They were divided into acupuncture and non-acupuncture groups. The follow-up period ended with the diagnosis of myocardial infarction, stroke or death. After propensity score matching (PSM), there were 18,011 patients each in the non-acupuncture and acupuncture groups. We calculated the incidence rate, hazard ratio (HR) and 95% confidence interval (CI) for MACE, myocardial infarction, stroke and death in patients with hypertension using a stratified Cox proportional hazard model. In addition, secondary outcome analyses for stroke and cardiovascular mortality were performed. Results After PSM, the HRs for MACE (0.83, 95% CI 0.80–0.86), all-cause mortality (0.73, 95% CI 0.70–0.76) and myocardial infarction (0.85, 95% CI 0.79–0.92) were significantly lower in the acupuncture group than in the non-acupuncture group. Moreover, the HRs for stroke-related mortality, hemorrhage stroke–related mortality, ischemic stroke–related mortality, ischemic heart disease–related mortality and circulatory system disease–related mortality were significantly lower in the acupuncture group than in the non-acupuncture group. Conclusion This observational study with long-term follow-up extends the evidence base in support of the effectiveness of acupuncture for the management of hypertension and potentially reduce the burden of cardiovascular disease.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of acupuncture on cardiovascular risks in patients with hypertension: a Korean cohort study

Jung

Lim

2020

Acupunct Med

View full text Add to dashboard Cite

show abstract

“…Therefore, more pragmatic clinical trials on the effects of traditional medicine therapy are needed. [119][120][121][122] Several studies have not mentioned adverse events, emphasizing the importance of reporting the safety of the intervention. Cases have been reported in which the indiscriminate use of THM without proper diagnosis and prescription by a traditional practitioner resulted in liver damage.…”

Section: Suggestions For Further Researchmentioning

confidence: 99%

Effectiveness and safety of traditional herbal medicine on cardiac arrhythmic condition: A systematic review and meta-analysis of randomized control clinical trial

Ahn,

Chu,

Leem

et al. 2024

Medicine

View full text Add to dashboard Cite

Introduction: The prevalence of cardiac arrhythmia, which can lead to cardiac death, heart failure, and cardioembolic stroke, is increasing. Although various Western medicines for cardiac arrhythmias have been developed, there are still various difficulties in the management of arrhythmias. Traditional herbal medicines (THM) are widely used to manage arrhythmia in East Asia. Therefore, this study aimed to assess the effectiveness and safety of THM in the treatment of arrhythmia. Method: Using a systematic review methodology, we searched for randomized clinical trials on herbal medicines for arrhythmia without complications in 4 databases up to September 2022. The literature search was carried out again, targeting papers published until April 2024.We conducted a risk-of-bias assessment and meta-analysis. This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Eighty-two randomized clinical trials were included in this meta-analysis. Total effective rate was significantly better in unspecified arrhythmia (risk ratio [RR]: 1.20, 95% confidence interval [CI]: 1.13–1.26), premature ventricular contraction (RR: 1.29, 95% CI: 1.29–1.33), sinus bradycardia (RR: 1.26, 95% CI: 1.17–1.36), tachycardia (RR: 1.23 95% CI: 1.15–1.32), and atrial fibrillation (RR: 1.17, 95% CI: 1.07–1.27). No severe adverse events were associated with THM. The overall risk of bias was relatively high. The total effective rate was the most frequently assessed clinical outcome variable. Most outcomes were surrogates and not clinical endpoints. Conclusion: THM, alone or in combination with Western medicine, has therapeutic effects on cardiac arrhythmic diseases. However, additional disease-specific clinical outcome variables are required for further studies on THM. Owing to the low quality of the included studies and their small sample sizes, additional large-scale, long-term follow-up, and well-designed randomized controlled clinical trials are required. Systematic review registration number: Details of the protocol for this systematic review and meta-analysis were registered on the Open Science Framework (OSF. io). (https://osf.io/7r8kn/).

show abstract

“…In terms of dosage, we could not conduct a subgroup analysis of treatment duration, frequency, or needle retention time due to the lack of relevant studies. Since it is an important factor for the therapeutic effect of acupuncture [68,69], we need further subgroup analysis or meta-regression studies for detailed treatment regimens and dosages in acupuncture treatment. Second, in the sensitivity analysis, although this is largely consistent with the results of the primary analysis, the order of the effect sizes of ELEC and MANU was reversed in some cases.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

et al. 2021

Self Cite

View full text Add to dashboard Cite

We aimed to compare the effectiveness of some different acupuncture modalities on motor function using the unified Parkinson disease rating scale (UPDRS)-III scores of idiopathic Parkinson’s disease (PD) via pairwise and network meta-analyses (NMA) of randomized controlled trials (RCTs). The Cochrane risk of bias assessment tool was used to assess the methodological quality of the included RCTs. A frequentist approach-based random effect model NMA was performed. Seventeen RCTs with 1071 participants were included. The five following modalities were identified: combination of conventional medication (levodopa) with (1) electroacupuncture (ELEC), (2) manual acupuncture (MANU), (3) bee venom acupuncture (BEEV), (4) sham acupuncture (SHAM), and (5) conventional medication alone (CONV). In NMA on UPDRS-III, BEEV was the best modality compared to CONV (mean difference [MD]) −7.37, 95% confidence interval [−11.97, −2.77]). The comparative ranking assessed through NMA was suggested to be BEEV, MANU, ELEC, SHAM, and CONV. Regarding daily activity assessment (UPDRS-II), the magnitude of effectiveness was in the order of BEEV, ELEC, MANU, SHAM, and CONV. Combination treatment with BEEV (MANU or ELEC) and CONV can be recommended to improve motor function in PD patients. Due to the limited number of included RCTs, further NMA with more rigorous RCTs are warranted.

show abstract

Does acupuncture reduce the risk of acute myocardial infarction?

Cited by 4 publications

References 18 publications

Effects of acupuncture on cardiovascular risks in patients with hypertension: a Korean cohort study

Effects of acupuncture on cardiovascular risks in patients with hypertension: a Korean cohort study

Effectiveness and safety of traditional herbal medicine on cardiac arrhythmic condition: A systematic review and meta-analysis of randomized control clinical trial

Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

Contact Info

Product

Resources

About