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http://dx.doi.org/10.22246/jikm.2020.41.4.688

Korean Medicine Treatment for Chronic Atypical Chest Pain Diagnosed as Coronary Artery Disease: A Case Report  

Kim, Eunmi (Chung-Yeon Korean Medicine Hospital)
Jo, Hee-Geun (Chung-Yeon Central Institute)
Publication Information
The Journal of Internal Korean Medicine / v.41, no.4, 2020 , pp. 688-698 More about this Journal
Abstract
Background: The aim of this study was to determine the overall effects and the clinical effect of Korean medicine treatment on chronic atypical chest pain. Case Report: A 56-year-old male patient suffering from chronic atypical chest pain was treated with herbal medicine and acupuncture. We used the Baseline Dyspnea Index (BDI), Pittsburgh Sleep Quality Index (PSQI), and a verbal numerical rating score (VNRS) to assess the patient's symptoms. The administration of the new herbal medicine and local acupuncture point stimulation improved the chest pain and dyspnea symptoms. No side effects were observed during the treatment. Conclusions: The study findings suggest that Korean medicine treatments, such as herbal medicine and local acupuncture point stimulation, may be effective as treatments for atypical chest pain and secondary symptoms in patients with coronary artery disease.
Keywords
atypical chest pain; coronary artery disease; Korean medicine; herbal medicine; acupuncture; functional chest pain;
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1 Yamasaki T, Fass R. Noncardiac chest pain: diagnosis and management. Current Opinion in Gastroenterology 2017;33(4):293-300.   DOI
2 Woodard PK, White RD, Abbara S, Araoz PA, Cury RC, Dorbala S, et al. ACR Appropriateness Criteria chronic chest pain-low to intermediate probability of coronary artery disease. J Am Coll Radiol 2013;10(5):329-34. doi:10.1016/j.jacr.2013.01.018.   DOI
3 Ruigomez A, Masso-Gonzalez EL, Johansson S, Wallander MA, Garcia-Rodriguez LA. Chest pain without established ischaemic heart disease in primary care patients: associated comorbidities and mortality. Br J Gen Pract 2009;59(560):e78-e86.   DOI
4 Liu Y, Meng HY, Khurwolah MR, Liu JB, Tang H, Aa N, et al. Acupuncture therapy for the treatment of stable angina pectoris: An updated meta-analysis of randomized controlled trials. Complement Ther Clin Pract 2019;34:247-53. doi:10.1016/j.ctcp.2018.12.012.   DOI
5 Xiong XJ, Wang Z, Wang J. Strategy in Treating Angina Pectoris with Chinese Patent Medicines by Promoting Blood Circulation and Removing Blood Stasis: Experience from Combination Therapy in Chinese Medicine. Curr Vasc Pharmacol 2015;13(4):540-53.   DOI
6 Mahler DA, Waterman LA, Ward J, McCusker C, ZuWallack R, Baird JC. Validity and responsiveness of the self-administered computerized versions of the baseline and transition dyspnea indexes. Chest 2007;132(4):1283-90. doi:10.1378/chest.07-0703.   DOI
7 Pilcher JJ, Ginter DR, Sadowsky B. Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research 1997;42(6):583-96.   DOI
8 Adamson PD, Newby DE, Hill CL, Coles A, Douglas PS, Fordyce CB. Comparison of International Guidelines for Assessment of Suspected Stable Angina: Insights From the PROMISE and SCOTHEART. JACC Cardiovasc Imaging 2018;11(9):1301-10.   DOI
9 National Institute for Health and Care Excellence. Chest pain. NICE pathway. Manchester: NICE 2017. https://pathways.nice.org.uk/pathways/chest-pain.
10 Rouan GW, Lee TH, Cook EF, Brand DA, Weisberg MC, Goldman L. Clinical characteristics and outcome of acute myocardial infarction in patients with initially normal or nonspecific electrocardiograms (a report from the Multicenter Chest Pain Study). The American journal of cardiology 1989;64(18):1087-92.   DOI
11 Miller CD, Lindsell CJ, Khandelwal S, Chandra A, Pollack CV, Tiffany BR, et al. Is the initial diagnostic impression of "noncardiac chest pain" adequate to exclude cardiac disease? Annals of emergency medicine 2004;44(6):565-74.   DOI
12 Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronaryartery disease. New England Journal of Medicine 1979;300(24):1350-8.   DOI
13 Fass R, Achem SR. Noncardiac chest pain: epidemiology, natural course and pathogenesis. Journal of neurogastroenterology and motility 2011;17(2):110-23.   DOI
14 Yamasaki T, Fass R. Noncardiac chest pain: diagnosis and management. Current Opinion in Gastroenterology 2017;33(4):293-300.   DOI
15 Yang M, Sun M, Du T, Long H, Chen J, Liang F, et al. The efficacy of acupuncture for stable angina pectoris: A systematic review and meta-analysis. Eur J Prev Cardiol 2019;2047487319876761.
16 Yelland M, Cayley WE, Vach W. An algorithm for the diagnosis and management of chest pain in primary care. Medical Clinics 2010;94(2):349-74.
17 Fass R, Shibli F, Tawil J. Diagnosis and Management of Functional Chest Pain in the Rome IV Era. Journal of neurogastroenterology and motility 2019;25(4):487-98.   DOI
18 Task Force Members, Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Di Mario C, et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. European heart journal 2013;34(38):2949-3003.   DOI
19 Wang K, Wu J, Duan X, Zhang D, Lin X, Zhang S, et al. Comparative efficacy of Chinese herbal injections for angina pectoris: A Bayesian network meta-analysis of randomized controlled trials. Complement Ther Med 2019;43:208-17.   DOI
20 Yang X, Xiong X, Yang G, Wang J. Chinese patent medicine Xuefu Zhuyu capsule for the treatment of unstable angina pectoris: A systematic review of randomized controlled trials. Complement Ther Med 2014;22(2):391-9.   DOI
21 Zhao M, Chen Y, Wang C, Xiao W, Chen S, Zhang S, et al. Systems pharmacology dissection of multi-scale mechanisms of action of Huo-Xiang-Zheng-Qi formula for the treatment of gastrointestinal diseases. Frontiers in Pharmacology 2019;9:1448.   DOI
22 Xu Q, Yi L, Pan Y, Wang X, Li Y, Li J, et al. Antidepressant-like effects of the mixture of honokiol and magnolol from the barks of Magnolia officinalis in stressed rodents. Prog Neuropsychopharmacol Biol Psychiatry 2008;32(3):715-25.   DOI
23 Ji C, Xu Y, Han F, Sun D, Zhang H, Li X, et al. Quercetin alleviates thermal and cold hyperalgesia in a rat neuropathic pain model by inhibiting Toll-like receptor signaling. Biomed Pharmacother 2017;94:652-8.   DOI
24 Li J, Zhao P, Li Y, Tian Y, Wang Y. Systems pharmacology-based dissection of mechanisms of Chinese medicinal formula Bufei Yishen as an effective treatment for chronic obstructive pulmonary disease. Scientific reports 2015;5:15290.   DOI