Department of Medicine, Greenville Health System, Greenville, South Carolina.
Department of Medicine, University of Rochester Medical Center, Rochester, New York.
Am J Cardiol. 2014 Mar 1;113(5):897-903. doi: 10.1016/j.amjcard.2013.11.044. Epub 2013 Dec 12.
Complementary and alternative medical (CAM) therapies are commonly used by patients for the treatment of medical conditions spanning the full spectrum of severity and chronicity. The use of alternative remedies, both herbal and others, for conditions lacking effective medical treatment, is on the increase. Included within this categorization, arrhythmic disease-absent effective catheter-based therapy or with medical therapy limited by the toxicities of contemporary antiarrhythmic agents is frequently managed by patients with CAM therapies without their practitioner's knowledge and in the face of potential herb-drug toxicities. This study reviews 9 CAM therapies: 7 individual herbal therapies along with acupuncture and yoga that have been studied and reported as having an antiarrhythmic effect. The primary focuses are the proposed antiarrhythmic mechanism of each CAM agent along with interactions between the CAM therapies and commonly prescribed medical therapy for arrhythmia patients. We stress persistent vigilance on the part of the provider in discussing the use of herbal or other CAM agents within the arrhythmia population.
补充和替代医学（CAM）疗法在治疗各种严重程度和慢性疾病方面被患者广泛使用。对于缺乏有效治疗方法的疾病，人们越来越多地使用替代疗法，包括草药和其他方法。在这种分类中，心律失常疾病 - 缺乏有效的导管治疗或由于当代抗心律失常药物的毒性而限制了医学治疗的疾病，经常由患者使用 CAM 疗法进行治疗，而他们的医生并不知道，并且面临着潜在的草药药物毒性。本研究综述了 9 种 CAM 疗法：7 种单独的草药疗法以及针灸和瑜伽，它们已被研究并报告具有抗心律失常作用。主要重点是每个 CAM 药物的拟议抗心律失常机制，以及 CAM 疗法与心律失常患者常用的医学治疗之间的相互作用。我们强调提供者在讨论心律失常患者使用草药或其他 CAM 药物时保持持续警惕。
