Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials

Jing Liu; Si-nai Li; Lu Liu; Kun Zhou; Yan Li; Xiao-yun Cui; Jie Wan; Jin-jin Lu; Yan-chao Huang; Xu-sheng Wang; Qian Lin

doi:10.1007/s11655-017-2753-9

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Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials

OriginalPaper | Updated：2021-08-27

- Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials
- Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials
- 中国结合医学杂志（英文版） 2018年24卷第3期页码：218-226
- Affiliations：
  
  1. Beijing University of Chinese Medicine,Beijing,China
  2. Department of Cardiology, Dongfang Hospital, Beijing University of Chinese Medicine,Beijing,China
  3. Beijing Institute of Traditional Chinese Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University,Beijing,China
  4. Scientific Research Division, Dongfang Hospital, Beijing University of Chinese Medicine,Beijing,China
  5. Intensive Care Unit, Dongfang Hospital, Beijing University of Chinese Medicine,Beijing,China
- Author bio：
- Funds：
  
  Supported by the National Natural Science Foundation of China (No. 81173176)
- DOI：10.1007/s11655-017-2753-9
  中图分类号：
- 纸质出版日期：2018，
  
  网络出版日期：2017-4-22，
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Liu, J., Li, Sn., Liu, L. et al. Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials., Chin. J. Integr. Med. 24, 218–226 (2018). https://doi.org/10.1007/s11655-017-2753-9

Jing Liu, Si-nai Li, Lu Liu, et al. Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials[J]. Chinese Journal of Integrative Medicine, 2018,24(3):218-226.
Liu, J., Li, Sn., Liu, L. et al. Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials., Chin. J. Integr. Med. 24, 218–226 (2018). https://doi.org/10.1007/s11655-017-2753-9 DOI：

Jing Liu, Si-nai Li, Lu Liu, et al. Conventional Acupuncture for Cardiac Arrhythmia: A Systematic Review of Randomized Controlled Trials[J]. Chinese Journal of Integrative Medicine, 2018,24(3):218-226. DOI： 10.1007/s11655-017-2753-9.

摘要

To exam the effect and safety of conventional acupuncture (CA) on cardiac arrhythmia. Nine medical databases were searched until February 2016 for randomized controlled trials. Heterogeneity was measured by Cochran Q test. Meta-analysis was conducted if I2 was less than 85% and the characteristics of included trials were similar. Nine qualified studies involving 638 patients were included. Only 1 study had definitely low risk of bias

while 7 trials were rated as unclear and 1 as high. Meta-analysis of CA alone did not have a significant benefit on response rate compared to amiodarone in patients with atrial fibrillation (Af) and atrial flutter (AF) [relative risk (RR): 1.09; 95% confidence interval (CI): 0.79–1.49; P=0.61; I2=61%

P=0.11]. However

1 study with higher methodological quality detected a lower recurrence rate of Af in CA alone as compared with sham acupuncture plus no treatment

and benefits on ventricular rate and time of conversion to normal sinus rhythm were found in CA alone group by 1 study

as well as the response rate in CA plus deslanoside group by another study. Meta-analysis of CA plus anti-arrhythmia drug (AAD) was associated with a significant benefit on the response rate when compared with AAD alone in ventricular premature beat (VPB) patients (RR

1.19

95% CI: 1.05–1.34; P=0.005; I2=13%

P=0.32)

and an improvement in quality-of-life score (QOLS) of VPB also showed in 1 individual study. Besides

a lower heart rate was detected in the CA alone group by 1 individual study when compared with no treatment in sinus tachycardia patients (MD–21.84 [–27.21

–16.47]) and lower adverse events of CA alone were reported than amiodarone. CA may be a useful and safe alternative or additive approach to AADs for cardiac arrhythmia

especially in VPB and Af patients

which mainly based on a pooled estimate and result from 1 study with higher methodological quality. However

we could not reach a robust conclusion due to low quality of overall evidence.

Abstract

P=0.11]. However

1 study with higher methodological quality detected a lower recurrence rate of Af in CA alone as compared with sham acupuncture plus no treatment

and benefits on ventricular rate and time of conversion to normal sinus rhythm were found in CA alone group by 1 study

1.19

95% CI: 1.05–1.34; P=0.005; I2=13%

P=0.32)

and an improvement in quality-of-life score (QOLS) of VPB also showed in 1 individual study. Besides

a lower heart rate was detected in the CA alone group by 1 individual study when compared with no treatment in sinus tachycardia patients (MD–21.84 [–27.21

–16.47]) and lower adverse events of CA alone were reported than amiodarone. CA may be a useful and safe alternative or additive approach to AADs for cardiac arrhythmia

especially in VPB and Af patients

which mainly based on a pooled estimate and result from 1 study with higher methodological quality. However

we could not reach a robust conclusion due to low quality of overall evidence.

关键词

acupuncturecardiac arrhythmiasystematic review

Keywords

acupuncturecardiac arrhythmiasystematic review

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