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A Case Report of Complete Atrioventricular Block Treatment with Samulanshin-tang-gamibang and Acupuncture

사물안신탕가미방과 침 치료로 임상 증상에 호전을 보인 완전방실차단 환자 치험 1례

  • Lee, Young-ung (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Kwangho (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kang, Geonhui (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kang, Sunny (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Song, Juhwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Ji, Sangho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sangkwan (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Cheol-hyun (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center)
  • 이영웅 (원광대학교 광주한방병원 한방내과) ;
  • 김광호 (원광대학교 광주한방병원 한방내과) ;
  • 강건희 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 강선이 (원광대학교 광주한방병원 한방내과) ;
  • 송주환 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 지상호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 광주한방병원 한방내과) ;
  • 김철현 (원광대학교 광주한방병원 한방내과)
  • Received : 2022.04.09
  • Accepted : 2022.05.30
  • Published : 2022.05.30

Abstract

Introduction: This study reports the effect of herbal medicine (Samulanshin-tang-gamibang) and acupuncture on complete atrioventricular (AV) block. Case presentation: A 63-year-old female with complete AV block was experiencing dyspnea, palpitation, dizziness, headache, bradycardia, and insomnia, and she was treated with Samulanshin-tang-gamibang and acupuncture for 12 days. To evaluate the treatment, a numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification was used. The patient's NRS scores decreased from 6 to 2 for dyspnea and palpitation and from 5 to 1 for dizziness and headache. Her NYHA Class improved from Class II to Class I. No side effects were observed during treatment. Conclusion: This study suggests that herbal medicine and acupuncture may be effective in relieving symptoms caused by complete AV block. However, the long-term effects of the treatment were not observed, and so further studies are still needed.

Keywords

Acknowledgement

This paper was supported by Wonkwang University in 2022.

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