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Herz und Kreislauf
Akupunktur bei Herzrhythmusstörungen: eine systematische Übersichtsarbeit und Metaanalyse Abstract Background Arrhythmia is common, and some patients respond poorly or experience adverse reactions to standard cardioversion therapies, highlighting the need for safer adjunctive options. Although acupuncture has shown potential benefits, prior reviews have primarily focused on efficacy, and no systematic evaluation of its safety in arrhythmia has been conducted. To systematically assess the risk of adverse events (AEs) associated with acupuncture in patients with cardiac arrhythmias. Methods A systematic search of PubMed, Web of Science, EMBASE, China National Knowledge Infrastructure, Wanfang, and VIP Database for Chinese Technical Periodicals (VIP) databases was...
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Die Rolle der Akupunktur als Komplementärtherapie bei Sepsis: eine narrative Übersichtsarbeit zur Evidenzlage und zukünftigen Studienrichtungen Abstract Sepsis is a life-threatening condition caused by a dysregulated host response to infection. Current interventions are insufficient to halt rising morbidity and mortality, prompting interest in complementary therapies including acupuncture. This narrative review systematically searched clinical studies published from 2010 to 2026 evaluating acupuncture as a complementary therapy for sepsis. Seventeen studies met inclusion criteria. We analyzed study design, participant characteristics, intervention modalities, acupoint selection, outcome measures, and safety, and explored connections between traditional Chinese medicine and modern biomedical mechanisms. The available evidence...
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Akupunktur bei primärer Hypertonie: eine systematische Übersichtsarbeit und Metaanalyse randomisierter kontrollierter Studien Abstract Objective This systematic review and meta-analysis evaluated the efficacy and safety of acupuncture for primary hypertension, based on randomised controlled trials (RCTs) published between 2015 and 2024. Methods We searched seven major databases for RCTs comparing acupuncture to control interventions. The primary outcomes were changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP). Meta-analyses utilised random-effects models, and the Cochrane Risk of Bias tool assessed study quality. Results Seven RCTs (n = 812) were included. Acupuncture was associated with lower SBP [mean differences (MD) = −6.73 mmHg, 95% confidence interval...
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Pharmakologische Einblicke in die Traditionelle Chinesische Medizin bei Herzinsuffizienz: Fokus auf kardialen Energiestoffwechsel und Mitochondrienfunktion Abstract Introduction Heart failure (HF) remains a major contributor to global cardiovascular mortality, largely due to disturbances in myocardial energy balance and mitochondrial impairment. Conventional therapies alleviate symptoms and slow disease progression but seldom restore normal cardiac bioenergetics. Traditional Chinese Medicine (TCM) provides a holistic, multitarget therapeutic framework that can influence metabolic and signaling networks involved in maintaining cardiac energy homeostasis. Methods Following the PRISMA framework, a systematic search was carried out for publications from 2021 to 2025 examining TCM-derived compounds or formulations with regulatory...
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Auswirkung der Spezifität von Akupunkturpunkten auf kardiovaskuläre Outcomes: Eine systematische Überprüfung und Meta-Analyse Abstract Background Acupuncture, a cornerstone of Traditional Chinese Medicine (TCM), is increasingly utilized for cardiovascular diseases (CVDs). A central tenet is acupoint specificity – the hypothesis that stimulating specific acupoints yields distinct therapeutic effects compared to non-specific points or sham interventions. However, the empirical evidence supporting acupoint specificity for cardiovascular outcomes remains debated. This systematic review aimed to evaluate the current evidence regarding the impact of acupoint specificity on clinically relevant cardiovascular outcomes. Methods A systematic search was conducted in major biomedical databases (PubMed, Embase, Cochrane Library,...
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Auswirkungen der Akupunktur auf die Sterblichkeit bei Patienten mit Behinderungen und neu diagnostizierter Herzinsuffizienz: eine landesweite Kohortenstudie Abstract Objective People with disabilities have high rates of cardiovascular diseases and mortality, and heart failure can worsen their condition. Therefore, preventing and managing cardiovascular diseases is particularly important for this population. Although acupuncture has been used for heart failure, research on its impact on mortality is limited. Given the unique pathophysiological characteristics of people with disabilities, this study aimed to evaluate the effect of acupuncture on mortality in those newly diagnosed with heart failure. Methods This retrospective cohort study used data from...
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Akupunktur-Dosierung und ihre Korrelation mit der Wirksamkeit bei Patienten mit chronischer stabiler Angina pectoris: Eine systematische Übersicht und Meta-Analyse randomisierter kontrollierter Studien Abstract Objective This systematic review aimed to compare the efficacy of various acupuncture dosages for Chronic Stable Angina (CSA) using randomized controlled trials (RCTs), addressing the unclear relationship between dosage and effectiveness despite acupuncture’s potential. Methods We searched eight bibliographic databases from inception to October 31, 2024, evaluating RCTs comparing acupuncture to placebo or standard care for CSA patients, focusing on angina attack frequency as the primary outcome. Studies were categorized into high (HDG), moderate (MDG), and low...
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Abstract Background and ObjectivesIn 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 MethodsWe 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). ResultsAmong 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...
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Abstract ETHNOPHARMACOLOGICAL RELEVANCEFufang Chuanxiong capsule consists of Angelica sinensis radix and Chuanxiong rhizome, which are used in the traditional Chinese medicine for the treatment of coronary artery disease, and Xinyue capsule is composed of panax quinquefolius saponin extracted from leaves and stems of Panax quinquefolium L, which has the functions of anti-myocardial ischemia, improving myocardial energy metabolism and inhibiting apoptosis of cardiomyocytes. OBJECTIVETo observe the role of Chinese herbal medicines in the cardiovascular outcome among patients with acute coronary syndrome (ACS) and renal insufficiency after percutaneous coronary intervention (PCI). METHODSThe subjects came from the 5C trial (chictr.org number: chictr-trc-07000021), post-PCI...
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Abstract ETHNOPHARMACOLOGICAL RELEVANCEWith the extensive recent use of warfarin and traditional Chinese medicine (TCM) in combination, TCM has been found to affect warfarin’s pharmacokinetic and pharmacodynamic parameters. Warfarin is a widely used oral anticoagulant, which has a narrow therapeutic window and a high likelihood of interacting with other drugs and resulting in serious adverse reactions. Contrary to widespread public expectations, TCM, despite being natural, is not always safe. AIM OF THE STUDYTo report the adverse drug reactions (ADR) resulting from the use of Chinese medicine and warfarin sodium tablets in combination. METHODSAccording to a hospital ADR monitoring report, we collected...
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