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Wendy S. Farrar, MSW, NCTMB, is an integrative health practitioner, Amber L. Fyfe-Johnson, ND, is a research scientist, and Jeffery A. Dusek, PhD, is research director, all at Penny George Institute for Health and Healing and Allina Health/Abbott Northwestern Hospital, Minneapolis, Minnesota. Courtney J. Baechler, MD, MS, is vice president of Penny George Institute for Health and Healing and medical director, Cardiac Preventive Services, at United Heart and Vascular Center, St Paul, Minnesota. 摘要 文件指出沉重生活压力与出现心房颤动 (atrial fibrillation, AF) 之间的关联。但尚未对使用综合医学 (integrative medicine, IM) 恢复心律这一课题作出充分研究。该案例报告说明综合医学 (IM) 方法如何用于出现心房颤动和剧痛的患者。在综合医学 (IM) 疗程期间，患者自动恢复至正常窦性心律，此外在综合医学 (IM) 治疗结束时，主诉疼痛、紧张和恶心的情况明显减少。 Sinopsis Se ha citado en la literatura una relaci�n entre el estr�s agudo vital y el desarrollo de fibrilaci�n auricular (atrial fibrillation, AF). Sin embargo, el uso de la medicina integrativa (integrative medicine, IM) para restablecer el ritmo cardiaco no se ha estudiado adecuadamente. El informe de este caso describe c�mo se us� un enfoque de IM en una paciente con fibrilaci�n auricular y dolor agudo. Se produjo una cardioversi�n espont�nea a un ritmo sinusal normal durante la sesi�n de IM, adem�s de una reducci�n marcada del dolor, la ansiedad y las n�useas notificados por la paciente al finalizar el tratamiento de la IM.
GLOBAL ADVANCES IN HEALTH AND MEDICINE This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. To request permission to use this work for commercial purposes, please visit www.copyright.com. Use ISSN#2164-9561. To subscribe, visit www.gahmj.com. Case RepoRt spontaneous Normal sinus Rhythm Conversion Using Integrative Medicine in atrial Fibrillation Wendy S. Farrar, MSW, NCTMB; Amber L. Fyfe-Johnson, ND; Courtney J. Baechler, MD, MS; Jeffery A. Dusek, PhD author affiliations abstRaCt reduce costs via avoidance of addi- sINopsIs Wendy S. Farrar, MSW, The relationship between acute life tional hospitalization, electrocardio- Se ha citado en la literatura una rel- NCTMB, is an integrative health practitioner, stress and the development of atrial version, and general anesthesia. ación entre el estrés agudo vital y el Amber L. Fyfe-Johnson, fibrillation (AF) has been noted in the desarrollo de fibrilación auricular ND, is a research scientist, literature. However, the use of integra- (atrial fibrillation, AF). Sin embargo, el and Jeffery A. Dusek, PhD, is research director, tive medicine (IM) in restoring cardi- 摘要 uso de la medicina integrativa (inte- all at Penny George ac rhythm has not been adequately 文件指出沉重生活压力与出现心 grative medicine, IM) para restablecer Institute for Health and studied. This case report describes 房颤动 (atrial fibrillation, el ritmo cardiaco no se ha estudiado Healing and Allina how an IM approach was used in a AF) 之间的关联。但尚未对使用 adecuadamente. El informe de este Health/Abbott Northwestern Hospital, patient with atrial fibrillation and 综合医学 (integrative medi- caso describe cómo se usó un enfoque Minneapolis, Minnesota. acute pain. Spontaneous cardiover- cine, IM) 恢复心律这一课题作出 de IM en una paciente con fibrilación Courtney J. Baechler, MD, sion to normal sinus rhythm occurred 充分研究。该案例报告说明综合 auricular y dolor agudo. Se produjo MS, is vice president of Penny George Institute during the IM session, in addition to 医学 (IM) 方法如何用于出现心房 una cardioversión espontánea a un for Health and Healing marked decreases in self-reported 颤动和剧痛的患者。在综合医学 ritmo sinusal normal durante la ses- and medical director, pain, anxiety, and nausea at the con- (IM) 疗程期间，患者自动恢复至 ión de IM, además de una reducción Cardiac Preventive clusion of IM treatment. These results 正常窦性心律，此外在综合医学 marcada del dolor, la ansiedad y las Services, at United Heart and Vascular Center, St provide initial support that for some (IM) 治疗结束时，主诉疼痛、紧 náuseas notificados por la paciente al Paul, Minnesota. cases of AF, IM therapies can help to 张和恶心的情况明显减少。 finalizar el tratamiento de la IM. Correspondence Amber L. Fyfe-Johnson, ND A Amber-Fyfe-Johnson@ allina.com trial fibrillation (AF) is a relatively common car- sota. PGIHH consists of inpatient services, an outpatient Citation diac arrhythmia that can have adverse conse- clinic, a research center, and a fitness center. Physicians Global Adv Health Med. quences related to (1) a reduction in cardiac out- and nurses predominantly make referrals to PGIHH; the 2012;1(2):20-23. put, and (2) atrial appendage thrombus formation (stroke most common reasons for referral are pain, anxiety, and Key Words and peripheral embolization). In addition, affected nausea. PGIHH employs 21 IMPs, all credentialed as Sinus rhythm, atrial patients may be at increased risk for mortality.1,2 registered nurses, nationally certified massage thera- fibrillation, stress, Diagnosis of AF is primarily through a 12 lead electrocar- pists, or licensed acupuncturists. Since 2005, PGIHH integrative medicine, diogram (EKG) characterized by an absence of discrete P IMPs have seen more than 25 000 hospitalized patients, cardiac, pain, anxiety, nausea, coronary waves and an irregularly irregular ventricular rate. AF is with an average of 2.43 visits per patient. The use of IM heart disease, more prevalent in men, is known to increase with age, and CAM in hospitals has more than doubled in recent hypertension, obesity, and is commonly associated with underlying coronary years due to increasing patient demand, more robust aromatherapy, guided heart disease (CHD) and hypertension.3 research suggesting efficacy of IM therapies, and an imagery, massage, case reports, India The trend toward not only offering but also inte- effort toward healthcare market differentiation by hos- grating complementary and alternative medicine pitals and healthcare systems.6 IM therapies have been (CAM) therapies in the conventional medical care set- shown to be effective in many populations with pain, ting has catalyzed conceptualization of a new clinical including (1) cardiac surgery,7 (2) thoracic surgery,8 (3) a paradigm. Several different terms are concurrently general patient population in acute care,9 and (4) other used to describe this practice, such as integrative medi- surgical populations.10,11 The effectiveness of IM in an cine, integrated medicine, or integrative healthcare. inpatient setting also has been established in observa- However, there is still debate regarding the most appro- tional studies.12,13 priate terminology and how it should be defined.4,5
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