Document Detail


Acupuncture in the treatment of heart failure.
MedLine Citation:
PMID:  15078586     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few clinical studies evaluating the efficacy of acupuncture in heart failure have been performed. These studies have focused on the acupoint Neiguan (P6) in patients experiencing heart failure and have variably reported either an acute increase in ventricular contractility and/or relaxation or no effect on ventricular contractility and/or relaxation. To date, clinical studies have been hampered by small enrollment, inadequate controls, and unblinded design. Recent scientific studies of animal models of acupuncture support the concept that acupuncture produces release of endogenous opioids in the central nervous system, which in turn could inhibit central sympathetic outflow. Patients experiencing heart failure have markedly elevated sympathetic activity, and those with the greatest sympathetic activation have the worst survival. Preliminary data from our laboratory suggests that acupuncture could be sympatholytic in heart failure. We found that sympathetic activation during acute mental stress was virtually eliminated after acupuncture. More studies defining the efficacy of acupuncture, and its mechanisms, in the treatment of heart failure are warranted.
Authors:
Holly R Middlekauff
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology in review     Volume:  12     ISSN:  1061-5377     ISO Abbreviation:  Cardiol Rev     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-04-13     Completed Date:  2004-07-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9304686     Medline TA:  Cardiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  171-3     Citation Subset:  IM    
Affiliation:
University of California-Los Angeles School of Medicine, Division of Cardiology, Los Angeles, California 90095, USA.
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MeSH Terms
Descriptor/Qualifier:
Acupuncture Therapy / methods*
Heart Failure / physiopathology,  therapy*
Humans
Sympathetic Nervous System / physiopathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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