Integrating Complementary Medicine Into Cardiovascular Medicine

Vogel, John H.K.; Bolling, Steven F.; Costello, Rebecca B.; Guarneri, Erminia; Krucoff, Mitchell W.; Longhurst, John C.; Olshansky, Brian; Pelletier, Kenneth R.; Tracy, Cynthia M.; Vogel, Robert A.; Abrams, Jonathan; Anderson, Jeffrey L.; Bates, Eric R.; Brodie, Bruce R.; Grines, Cindy L.; Danias, Peter G.; Gregoratos, Gabriel; Hlatky, Mark A.; Hochman, Judith S.; Kaul, Sanjiv; Lichtenberg, Robert; Lindner, Jonathan R.; O’Rourke, Robert A.; Pohost, Gerald M.; Schofield, Richard S.; Shubrooks, Samuel J.; Winters, William L.

doi:10.1016/j.jacc.2005.05.031

Cited by 118 publications

(18 citation statements)

References 359 publications

(288 reference statements)

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“…Pharmacological symptom management among cardiovascular patients, while often appropriate and necessary, presents challenges such as side effects, limited effectiveness, and risk of adverse events [ 3 ]. In 2005, the American College of Cardiology Foundation Task Force recommended consideration of non-pharmacological options for cardiovascular patients, including the use of complementary and alternative medicine (CAM) therapies [ 4 ]. A 2012 systematic review of hospitals and outpatient clinics reported that between four and sixty-one percent of cardiovascular patients use CAM for managing cardiovascular conditions and maintaining general health [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation

Johnson

Crespin

Griffin

et al. 2014

BMC Complement Altern Med

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BackgroundPain and anxiety occurring from cardiovascular disease are associated with long-term health risks. Integrative medicine (IM) therapies reduce pain and anxiety in small samples of hospitalized cardiovascular patients within randomized controlled trials; however, practice-based effectiveness research has been limited. The goal of the study is to evaluate the effectiveness of IM interventions (i.e., bodywork, mind-body and energy therapies, and traditional Chinese medicine) on pain and anxiety measures across a cardiovascular population.MethodsRetrospective data obtained from medical records identified patients with a cardiovascular ICD-9 code admitted to a large Midwestern hospital between 7/1/2009 and 12/31/2012. Outcomes were changes in patient-reported pain and anxiety, rated before and after IM treatments based on a numeric scale (0-10).ResultsOf 57,295 hospital cardiovascular admissions, 6,589 (11.5%) included IM. After receiving IM therapy, patients averaged a 46.5% (p-value < 0.001) decrease in pain and a 54.8% (p-value < 0.001) decrease in anxiety. There was no difference between treatment modalities on pain reduction; however, mind-body and energy therapies (p-value < 0.01), traditional Chinese medicine (p-value < 0.05), and combination therapies (p-value < 0.01) were more effective at reducing anxiety than bodywork therapies. Each additional year of age reduced the odds of receiving any IM therapy by two percent (OR: 0.98, p-value < 0.01) and females had 96% (OR: 1.96, p-value < 0.01) higher odds of receiving any IM therapy compared to males.ConclusionsCardiovascular inpatients reported statistically significant decreases in pain and anxiety following care with adjunctive IM interventions. This study underscores the potential for future practice-based research to investigate the best approach for incorporating these therapies into an acute care setting such that IM therapies are most appropriately provided to patient populations.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation

Johnson

Crespin

Griffin

et al. 2014

BMC Complement Altern Med

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“…They proposed water as the preferred beverage to fulfill daily hydration needs, immediately followed in decreasing value by tea and coffee. The American College of Cardiology Foundation Task Force [82] now recommends moderate tea intake as part of nutritional advice for risk reduction in CVD. Nonetheless, while the impact of tea on cardiovascular function is compelling, the evidence for its other putative benefits ranges markedly between various outcomes.…”

Section: Resultsmentioning

confidence: 99%

Tea and health: preventive and therapeutic usefulness in the elderly?

Bolling

Chen

Blumberg

2009

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review To update the growing literature suggesting that tea and its constituent flavonoids are inversely related to the risk of chronic diseases common among the elderly. Recent findings Results are provided from recent observational studies and clinical trials on the relationship of tea and tea catechins to body weight control and energy metabolism, impaired glucose tolerance and diabetes, cardiovascular disease, bone mineral density, cognitive function and neurodegenerative disease, and cancer. The evidence for the efficacy and potency of tea and tea extracts in benefiting these outcomes ranges from compelling for cardiovascular disease to equivocal at best for some forms of cancer. Summary Although randomized clinical trials of tea have generally been of short duration and with small sample sizes, together with experimental and epidemiological studies, the totality of the data suggests a role for tea in health promotion as a beverage absent in calories and rich in phytochemicals. Further research is warranted on the putative benefits of tea and the potential for synergy among its constituent flavonoids, l-theanine, and caffeine.

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“…Indeed, the American College of Cardiology ACCF Complementary Medicine Experts Consensus publication on complementary and alternative medicines concluded that "Few U.S. products benefit from rigorous characterization and standardization necessary for clinical study" (Vogel et al 2005). Indeed, the American College of Cardiology ACCF Complementary Medicine Experts Consensus publication on complementary and alternative medicines concluded that "Few U.S. products benefit from rigorous characterization and standardization necessary for clinical study" (Vogel et al 2005).…”

mentioning

confidence: 99%

“…A neutral response is also important as the sale of "natural products" in North America has been stated as reaching 30 billion dollars in 2001 (Vogel et al 2005). A neutral response is also important as the sale of "natural products" in North America has been stated as reaching 30 billion dollars in 2001 (Vogel et al 2005).…”

mentioning

confidence: 99%

Opinion paper: To publish or not, manuscripts using natural products

Jones

2014

Can. J. Physiol. Pharmacol.

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Integrating Complementary Medicine Into Cardiovascular Medicine

Cited by 118 publications

References 359 publications

The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation

The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation

Tea and health: preventive and therapeutic usefulness in the elderly?

Opinion paper: To publish or not, manuscripts using natural products

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