Guideline of atrial fibrillation management

Joung, Boyoung

doi:10.5124/jkma.2019.62.5.265

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…[1] Atrial fibrillation (AF), the most common arrhythmia, is a major factor associated with fatal cardiovascular conditions such as ischemic heart disease, cardiovascular disease, and heart failure, without appropriate management. [2] Arrhythmias include various diseases with an abnormal heartbeat, such as AF, paroxysmal supraventricular tachycardia, sinus arrhythmia, ectopic atrial rhythm or wandering pacemaker, atrial premature beat, ventricular premature beat, ventricular tachycardia, and AV block. [3] In conventional medicine, factor IIa (thrombin) inhibitors (dabigatran) and factor Xa inhibitors (xaban) are used to prevent embolisms caused by arrhythmias.…”

Section: Introductionmentioning

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

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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/).

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Section: Introductionmentioning

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

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“…심부전, 뇌졸중, 판막질환, 고혈압성 심질환, 심근 병증이 있으며, 특히, 심방세동은 노화와 관련이 깊어 4 고령화 사회에서 심방세동의 유병률이 증가 하고 있는 추세이다 1 Ⅲ. 연구 윤리…”

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Improvement of Dyspnea and Palpitations of Cardiac Origin Using Comprehensive Traditional Korean Medicine Treatment Including <italic>Bangibokryeong-tang</italic> (<italic>Fangji Fuling</italic> Decoction) : A Case Report

Kim,

Park,

Lee

et al. 2024

J Int Korean Med

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This case report demonstrates the effect of modified <i>Bangibokryeong-tang</i> (<i>Fangji Fuling</i> Decoction), a traditional herbal prescription in treating dyspnea and palpitations, symptoms that often lead to anxiety and reduced quality of life of cardiac patients. A female patient in her late 70s with congenital valve malformation and atrial fibrillation presented with dyspnea and palpitations, each rated at a severity of 8 on a numeric rating scale (NRS). After voluntarily discontinuing Western medication, she received modified BGBRT for 25 days, leading to significant symptom relief and NRS improvement to 0-2. The patient reported maintaining an improved condition and showed a significant increase in vitality. This improvement was sustained for 7 months, but the symptoms recurred; thus, modified BGBRT was restarted. Modified BGBRT showed substantial effects on persistent cardiac-origin dyspnea and palpitations. Thus, this TKM has the potential to manage symptoms and enhance the quality of life of cardiac patients.

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Guideline of atrial fibrillation management

Cited by 2 publications

References 16 publications

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

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

Improvement of Dyspnea and Palpitations of Cardiac Origin Using Comprehensive Traditional Korean Medicine Treatment Including <italic>Bangibokryeong-tang</italic> (<italic>Fangji Fuling</italic> Decoction) : A Case Report

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