Çelik Mustafa, Yücel Hasan E, Sivri Serkan, Sökmen Erdoğan, Uçar Cahit
Department of Cardiology, Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
Department of Internal Medicine Ahi Evran University Training and Research Hospital, Kirsehir, Turkey.
J Acupunct Meridian Stud. 2020 Aug;13(4):124-128. doi: 10.1016/j.jams.2020.06.001. Epub 2020 Jun 15.
Cupping therapy (CT) is an ancient medical treatment since antiquity and is used for the treatment of such various disease states as contagious diseases, chronic or acute inflammatory disease, and autoimmune disorders. Ventricular repolarization is represented by QT and corrected-QT (QTc) intervals from surface electrocardiography.
As novel repolarization parameters, Tpeak-toTend (Tp-Te) interval, and Tp-Te/QT and Tp-Te/QTc ratios are suggested to correlate better with ventricular arrhythmia risk in various clinical conditions than sole QT and QTc intervals. In this study, we aimed to determine whether these parameters changed significantly after CT in healthy individuals.
One hundred and twenty participants (57 women and 63 men; mean age: 49.0 ± 13.0 years) participated in this study. ECGs strips were recorded 1 hour before and 1 hour after CT from each participant, and relevant ECG parameters were compared.
Tp-Te interval [69.51 ± 11.54 msec vs 63.15 ± 10.89 msec, p = 0.001], Tp-Te/QT ratio [0.191 ± 0.030 vs 0.174 ± 0.031, p = 0.002] and Tp-Te/QTc ratio [0.175 ± 0.030 vs 0.159 ± 0.026, p = 0.001] were found to be significantly decreased 1 hour after the procedure compared with the pre-procedure values. However, no statistically significant change was observed in mean heart rate, QT and QTc intervals, QT/QRS and cQT/QRS, and frontal QRS/T angle after the procedure compared with the same parameters before the procedure (p > 0.05).
In accordance with the results of our study, it is plausible to conclude that CT may exert cardioprotective effect. However, larger scale prospective studies are needed to support our findings.
拔罐疗法是一种古老的医学治疗方法，自古以来就被用于治疗多种疾病状态，如传染病、急慢性炎症性疾病和自身免疫性疾病。心室复极化由体表心电图的QT间期和校正QT（QTc）间期表示。
作为新的复极化参数，T峰至T末（Tp-Te）间期、Tp-Te/QT和Tp-Te/QTc比值被认为在各种临床情况下比单独的QT和QTc间期与室性心律失常风险的相关性更好。在本研究中，我们旨在确定健康个体接受拔罐疗法后这些参数是否发生显著变化。
120名参与者（57名女性和63名男性；平均年龄：49.0±13.0岁）参与了本研究。在每位参与者接受拔罐疗法前1小时和后1小时记录心电图条带，并比较相关心电图参数。
与治疗前值相比，治疗后1小时发现Tp-Te间期[69.51±11.54毫秒对63.15±10.89毫秒，p = 0.001]、Tp-Te/QT比值[0.191±0.030对0.174±0.031，p = 0.002]和Tp-Te/QTc比值[0.175±0.030对0.159±0.026，p = 0.001]显著降低。然而，与治疗前相同参数相比，治疗后平均心率、QT和QTc间期、QT/QRS和cQT/QRS以及额面QRS/T角未观察到统计学上的显著变化（p>0.05）。
根据我们的研究结果，可以合理地得出结论，拔罐疗法可能具有心脏保护作用。然而，需要更大规模的前瞻性研究来支持我们的发现。
