医学
针灸科
心房颤动
电针
随机对照试验
安慰剂
不利影响
内科学
心脏复律
心脏病学
麻醉
物理疗法
替代医学
病理
作者
Jung Pyo Lee,Seung Hwan Lee,Jungtae Leem,Jin-Bae Kim,Ji-Min Park,Jun Yong Park,Suji Lee,Hyun Soo Kim,Hyemoon Chung,Jong Inn Woo,Wooshik Kim,Sang-Hoon Lee,Weon Kim
标识
DOI:10.3390/medicina58010041
摘要
Background and Objectives: In this study, we attempted to determine the effects of acupuncture on cardiac remodeling and atrial fibrillation (AF) recurrence rates in patients with AF after electrical cardioversion (EC). Materials and Methods: We randomly assigned 44 patients with persistent AF to an acupuncture group or a sham acupuncture group. An electroacupuncture treatment session was administered once weekly for 12 weeks at four acupuncture points (left PC5, PC6, ST36, and ST37). Results: Among the 44 recruited participants, 16 (treatment group) and 15 (control group) completed the trial. The three-month AF recurrence rate (primary outcome) was not significantly different between the two groups. Following the completion of treatment, patients who had been treated with acupuncture had a significant reduction in left atrial volume index (42.2 ± 13.9 to 36.1 ± 9.7 mL/m2; p = 0.028), whereas no change in atrial size was observed in the sham acupuncture group. No serious adverse events were observed. The AF recurrence rate and cardiac function did not differ significantly between the two groups. At three months, the acupuncture treatment group showed more favorable atrial structural remodeling compared to the sham acupuncture group. Conclusion: In future research on acupuncture in AF management, it is recommended that the inclusion criteria be amended to include only symptomatic AF, that an appropriate control group is designed, and that the acupuncture treatment frequency is increased to several times per week.
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