Complementary and Alternative Cardiovascular Medicine: Clinical Handbook (Contemporary Cardiology Ser) (Contemporary Cardiology)

299 Pages·2004·1.03 MB·English

by  Mehmet C. Oz, Richard A. Stein

Complementary
andAlternative
Cardiovascular
Medicine
Edited by
Richard A. Stein, MD
Mehmet C. Oz, MD
COMPLEMENTARY AND ALTERNATIVE
CARDIOVASCULAR MEDICINE
CONTEMPORARY CARDIOLOGY
CHRISTOPHER P. CANNON, MD
SERIES EDITOR
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COMPLEMENTARY
AND ALTERNATIVE
CARDIOVASCULAR
MEDICINE
Edited by
RICHARD A. STEIN, MD
Associate Chairman of Medicine
Beth Israel Medical Center;
Chief of Medicine
The Singer Division of Beth Israel Medical Center
New York, NY
and
MEHMET C. OZ, MD
Cardiovascular Institute
Columbia Presbyterian Medical Center
New York, NY
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PREFACE
As health care providers, we spend our lives searching for treatments
that reduce suffering and lengthen the lives of our patients. Sometimes
we find solutions in surprising places. Although we all have hopes for
advancements in technology, the future of medicine is also about
challenging preconceptions as we change our healing biases. In many
ways, this is the natural evolution of “global medicine.” We have global
communications and global banking; however, until recently medicine
has remained remarkably provincial. Traditionally, healers arose from
their local culture with the same biases as their patients. As a result, only
recently have Western physicians become aware of the mysteries and
opportunities of Eastern approaches. Yet, in the context of our honest
commitment to evidence-based medical care, our reaction is to view
these options with skepticism, because the important “gold standard” of
proof, the large randomized clinical trial, is not accessible to us.
Nevertheless, patients are experimenting already with many
unconventional treatments. The increasing use of complementary and
alternative medical (CAM) therapies by patients to prevent or treat
cardiovascular disease and the ineffective communication between
patient and physicians in this regard are documented by repeated
population surveys in the United States. The finding that less than one
half of the more than 50% of our patients who use CAM therapies share
this information with their doctor is the basis for an increasing concern.
How can we prevent or even monitor potential adverse events and poor
clinical outcomes resulting from drug–supplement interactions or
failure by the patient to comply with traditional medical care? Even more
provocatively, how will we learn about the benefits of CAM approaches
if we are unaware of their use? We, as health care providers, are chal-
lenged to acquire the knowledge base to be effective communicators and
counselors to our patients. Complementary and Alternative Medicine in
Cardiovascular Disease addresses these challenges for cardiovascular
medicine.
The charge given to each expert author was to address, where
relevant, history, theoretical basis, philosophy, practical application and
the specific therapies, pharmaceuticals, diets and supplements of the
selected CAM therapy or practice. In addition, each author was directed
to review and critique, as appropriate, the relevant clinical evidence. The
guiding principal was to provide information regarding CAM that the
v
vi Preface
physician or other health care provider “should know” in caring for and
counseling patients with, or at risk of, cardiovascular diseases.
The topics covered in Complementary and Alternative Medicine in
Cardiovascular Disease range from the more commonly encountered
use of herbs, vitamins and other supplements, dietary and supplemental
fats and oils, meditation, prayer, and acupuncture to less familiar areas
such as homeopathy, massage, chelation therapy, aromatherapy, and
energy therapies. We also asked committed practitioners to describe
their fields to allow readers to acquire the “flavor” of their patient’s
CAM experience.
Our goal was to provide a resource that would form the basis of an
ever-increasing personal knowledge base in CAM and cardiovascular
disease for the physician, nurse, and other health care provider. The
quality of the chapters contributed by the authors has permitted us to
produce a remarkable text that we are confident will be of continued
value to the reader.
Richard A. Stein, MD
Mehmet C. Oz, MD
CONTENTS
Preface .................................................................................................. v
Contributors ........................................................................................ ix
Value-Added eBook/PDA ................................................................. xi
1 Complementary and Alternative Medicine
in the Prevention and Treatment
of Cardiovascular Disease: An Introduction ..........1
Richard A. Stein and Mehmet C. Oz
2 History, Regulation, Integrity, and Purity of Herbs
and Supplements ...................................................11
Robert S. McCaleb and Fredi Kronenberg
3 Botanical Medicine and Cardiovascular Disease ..........27
Tieraona Low Dog
4 Herb and Dietary Supplement Interactions
With Cardiovascular Drugs ..................................49
Dennis V. C. Awang
5 Vitamin Therapy for Cardiovascular Disease ...............59
Wahida Karmally
6 Oils and Fats in the Prevention and Treatment
of Cardiovascular Disease ....................................73
Penny M. Kris-Etherton, Kari D. Hecker,
Terry D. Etherton, and Valerie K. Fishell
7 Nutrachemicals in the Prevention and Treatment
of Cardiovascular Disease ..................................101
Arshad M. Safi, Cynthia A. Samala,
and Richard A. Stein
8 Meditation and Cardiovascular Disease ..................... 121
Erin L. Olivo
9 Prayer and Cardiovascular Disease ..............................137
Jonathan E. E. Yager, Suzanne W. Crater,
and Mitchell W. Krucoff
vii
viii Contents
10 Massage Therapy and Cardiovascular Disease ...........153
Patricia Cadolino
11 Acupuncture in Cardiovascular Disease ......................167
Soeren Ballegaard
12 Chelation Therapy for Cardiovascular Disease ...........189
Steven C. Halbert
13 Energy Medicine, Energy Therapies,
and Cardiovascular Disease ...............................201
Glen Rein and Maria Syldona
14 Homeopathy and Cardiovascular Disease ...................215
Woodson C. Merrell and Amy Rothenberg
15 Aromatherapy and Cardiovascular Disease .................239
Jane Buckle
16 A Physician’s Guide to CAM and Cardiovascular
Disease on the World Wide Web .......................255
Jacqueline C. Wootton
Index .................................................................................................279
CONTRIBUTORS
DENNIS V. C. AWANG, PhD, FCIC • MediPlant Consulting, Inc.,
White Rock, BC, Canada
SOEREN BALLEGAARD, MD • The Ballegaard Acupuncture Center,
Hellerup, Denmark
JANE BUCKLE, PhD, RN • R. J. Buckle Associates, LLC
PATRICIA CADOLINO, LMT, CIMI • Massage Therapy Services, Stony
Brook University Hospital, Stony Brook, NY
SUZANNE W. CRATER, RN, ANP-C • Duke Clinical Research Institute,
Duke University Medical Center, Durham, NC
TERRY D. ETHERTON, PhD • Dairy and Animal Science Department,
The Pennsylvania State University, University Park, PA
VALERIE K. FISHELL, MS • Department of Nutritional Science, The
Pennsylvania State University, University Park, PA
STEVEN C. HALBERT, MD • Director of Protocol Development, Jefferson
Center for Integrative Medicine; and Department of Medicine,
Thomas Jefferson University, Philadelphia, PA
KARI D. HECKER, PhD, RD • Department of Nutritional Science,
The Pennsylvania State University, University Park, PA
WAHIDA KARMALLY, PhD, RD, CDE • The Irving Center for Clinical
Research, Columbia University, New York, NY
PENNY M. KRIS-ETHERTON, PhD, RD • Department of Nutritional
Science, The Pennsylvania State University, University Park, PA
FREDI KRONENBERG, PhD • Richard and Hinda Rosenthal Center for
Complementary and Alternative Medicine, Department of
Rehabilitation Medicine, College of Physicians & Surgeons,
Columbia University, New York, NY
MITCHELL W. KRUCOFF, MD, FACC • Division of Cardiology, Duke
Clinical Research Institute, Duke University Medical Center,
Durham, NC
TIERAONA LOW DOG, MD • Executive Advisory Board, NIH National
Center for Complementary and Alternative Medicine; Department
of Medicine, Program in Integrative Medicine, University
of Arizona, Tucson, AZ
ROBERT S. MCCALEB • Herb Research Foundation, Boulder, CO
WOODSON C. MERRELL, MD • Department of Medicine, College
of Physicians & Surgeons, Columbia University, New York, NY
ix