Complementary and Integrative Therapies for Cardiovascular Disease PDF
Preview Complementary and Integrative Therapies for Cardiovascular Disease
11830 Westline Industrial Drive St. Louis, Missouri 63146 COMPLEMENTARY AND INTEGRATIVE THERAPIES FOR CARDIOVASCULAR DISEASE ISBN 0-323-03002-5 Copyright © 2005 by Mosby, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 238 7869, fax: (+1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining Permissions’. NOTICE Complementary and integrative medicine is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recom- mended dose, the method and duration of administration, and contraindications. It is the responsibil- ity of the licensed prescriber, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither the publisher nor the author assumes any liability for any injury and/or damage to persons or property arising from this publication. Publishing Director:Linda Duncan Acquisitions Editor:Kellie White Developmental Editor:Kim Fons Publishing Services Manager:Pat Joiner Project Manager:Karen M. Rehwinkel Designer:Amy Buxton Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 CONTRIBUTORS WILBERTS. ARONOW, MD Clinical Professor of Medicine, New York Medical College; Chief of Cardiology Clinic, Westchester Medical Center, Valhalla, New York Spinal Cord Stimulation for the Treatment of Angina Pectoris DONALDA. BISSON, MAR, RRP, CET, CCT Dean and Chairman, Ontario College of Reflexology, New Liskeard, Ontario, Canada Reflexology ELAINECALENDA, NCTMB Academic Dean, Boulder College of Massage Therapy, Boulder, Colorado Therapeutic Massage and Asian Bodywork JOHND. CAPOBIANCO, DO, FAAO Acting Chair, Department of Osteopathic Medicine; Clinical Associate Professor, New York College of Osteopathic Medicine of the New York Institute of Technology, Old Westbury, New York Osteopathic Manipulative Medicine in the Treatment of Hypertension MICHAELH. COHEN, JD, MBA Assistant Professor of Medicine; Director of Legal Programs, Division for Research and Education in Complementary and Integrative Medical Therapies, Harvard Medical School, Boston, Massachusetts Legal Issues in Integration of Complementary Therapies Into Cardiology Practice SUZANNEW. CRATER, RN, ANP-C Duke Clinical Research Institute; Director, Interventional Devices Clinical Trials, Duke University Medical Center, Durham, North Carolina Prayer and Cardiovascular Disease v vi Contributors JEFFERYA. DUSEK, PHD Associate Research Director, Mind-Body Medical Institute; Instructor of Medicine, Harvard Medical School, Boston, Massachusetts Prayer and Cardiovascular Disease ARTHURE. FASS, MD, FACC, FACP Chief of Cardiology, Phelps Memorial Hospital, Briarcliff Manor, New York; Clinical Assistant Professor of Medicine, New York Medical College, Valhalla, New York Hypnosis for the Relief of Cardiac Symptomatology SUZANFLECK, BA Associate Faculty, Boulder College of Massage Therapy, Boulder, Colorado Therapeutic Massage and Asian Bodywork WILLIAMH. FRISHMAN, MD, FACC, FAHA, MACP Rosenthal Professor and Chairman of Medicine, Professor of Pharmacology, New York Medical College; Director of Medicine, Westchester Medical Center, Valhalla, New York The Placebo Effect in Cardiovascular Disease Nutriceuticals and Cardiovascular Illness Herbal Approach to Cardiac Disease Acupuncture in Cardiovascular Diseases Chelation Therapy Sauna as a Therapeutic Option for Cardiovascular Disease Animal-Assisted Therapy and Cardiovascular Disease Magnetic Biostimulation: Energy Therapy Spinal Cord Stimulation for the Treatment of Angina Pectoris STEPHENP. GLASSER, MD Professor of Epidemiology; Director of Graduate Studies in Clinical Research, University of Minnesota, School of Public Health, Minneapolis, Minnesota The Placebo Effect in Cardiovascular Disease Contributors vii JAMESG. GRATTAN, MD, FACC Clinical Assistant Professor, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas Mind-Body Approach to Cardiac Illness SUZANNEB. HANSER, EDD, MT-BC Chair, Music Therapy Department, Berklee College of Music; President, World Federation of Music Therapy, Boston, Massachusetts The Effects of Music Therapy in Cardiac Healthcare ALANR. HIRSCH, MD, FACP Neurological Director, Smell and Taste Treatment and Research Foundation, Chicago, Illinois Aromatherapy in Cardiac Conditions LINDAC. NADIAHOLE, MD Guest Faculty, American Academy of Pain Management, American Holistic Medical Association, World Congress of Qigong; Faculty,Traditional Chinese Medical College of Hawaii, Pope Valley, California Heart Qi and the Heart of Healing: Qigong for the Prevention and Treatment of Cardiac Disease ROGERJAHNKE, OMD Director, Institute of Integral Qigong and Tai Chi; Chair, Qigong and Tai Chi Department, Santa Barbara College of Oriental Medicine, Santa Barbara, California Qigong and Tai Chi: Traditional Chinese Health Promotion Practices in the Prevention and Treatment of Cardiovascular Disease MITCHELLW. KRUCOFF, MD, FACC, FCCP Associate Professor, Medicine/Cardiology, Duke Clinical Research Institute; Director, Interventional Devices Clinical Trials, Duke University Medical Center; Durham, North Carolina Prayer and Cardiovascular Disease viii Contributors NATHANA. KRUGER, MD Internal Medicine Resident, Yale–New Haven Hospital, New Haven, Connecticut Nutriceuticals and Cardiovascular Illness WEI-NCHIHLEE, MD Assistant Professor of Medicine, Section of General Internal Medicine, New York Medical College, Westchester Medical Center, Valhalla, New York The Placebo Effect in Cardiovascular Disease RAVINDERMAMTANI, MD, MSC Professor, Clinical Preventive Medicine; New York Medical College; Chief, Section of Complementary Medicine, Department of Medicine, Department of Community and Preventive Medicine, Westchester Medical Center, Valhalla, New York Ayurveda and Yoga in Cardiovascular Diseases Homeopathy With a Special Focus on Treatment of Cardiovascular Diseases Acupuncture in Cardiovascular Diseases RONACMAMTANI, BS Medical Student, Stony Brook Medical School, Port Jefferson, New York Ayurveda and Yoga in Cardiovascular Diseases SUSANE. MANDEL, MED, MT-BC Music Therapy Consultant and Researcher, Lake Hospital System Inc., Willoughby, Ohio; Doctoral Student, Union Institute and University, Cincinnati, Ohio The Effects of Music Therapy in Cardiac Healthcare ANGELEMCGRADY, PHD Professor, Department of Psychiatry, Medical College of Ohio, Toledo, Ohio Biofeedback in Cardiovascular Disease Contributors ix MOHAMMEDMOIZUDDIN, MD Medical Resident, Department of Internal Medicine, St. Barnabas Hospital, Weill Medical College of Cornell University, New York, New York Herbal Approach to Cardiac Disease NAUMANNASEER, MD Assistant Professor of Medicine, New York Medical College, Division of Cardiology, Westchester Medical Center, Valhalla, New York Sauna as a Therapeutic Option for Cardiovascular Disease YENNGUYEN, MD Medical Resident, Santa Clara Valley Medical Center, Stanford Medical School, San Jose, California Sauna as a Therapeutic Option for Cardiovascular Disease TERRYOLESON, PHD Doctoral Program Director, Emperor’s College of Traditional Oriental Medicine, Santa Monica, California Auriculotherapy for Cardiovascular Disorders MEHMETOZ, MD Professor; Vice Chairman, Department of Surgery; Director, Cardiovascular Institute, Columbia University, College of Physicians and Surgeons, New York, New York Integrative Medicine in Cardiothoracic Surgery STEPHENJ.PETERSON, MD, FACP Vice Chairman, Department of Medicine; Professor of Clinical Medicine; Chief, Section of General Internal Medicine, New York Medical College; Director, Internal Medicine Residency Training Program, Westchester Medical Center, Valhalla, New York The Placebo Effect in Cardiovascular Disease x Contributors JAMESROSADO, PHD Postdoctoral Psychology Fellow, Harvard Medical School, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Boston, Massachusetts Cognitive-Behavioral Therapy in Cardiac Illness RONALDSCHOUTEN, MD Associate Professor of Psychiatry, Harvard Medical School; Director, Law and Psychiatry Services, Massachusetts General Hospital, Boston, Massachusetts Legal Issues in Integration of Complementary Therapies Into Cardiology Practice STEPHENT. SINATRA, MD, FACC, CNS Assistant Clinical Professor of Medicine, University of Connecticut School of Medicine, Farmington, Connecticut Nutriceuticals and Cardiovascular Illness Herbal Approach to Cardiac Disease ADAMJ.SPIEGEL, DO Resident Physician, Clinical Assistant Instructor, Department of Medicine, Stony Brook University Hospital, Stony Brook, New York Osteopathic Manipulative Medicine in the Treatment of Hypertension TRACIR. STEIN, MPH Director, Columbia Integrative Medicine Program, Department of Surgery, Columbia University, College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York Integrative Medicine in Cardiothoracic Surgery AIGVHDIWAYA(EILEENNAUMAN), DHM (UK) Desert Institute of Classical Homeopathy, Phoenix, Arizona Native American Healing for the Heart Contributors xi MICHAELI. WEINTRAUB, MD, FACP, FAAN Clinical Professor of Neurology and Medicine, Departments of Neurology and Internal Medicine, New York Medical College, Westchester Medical Center, Valhalla, New York Magnetic Biostimulation: Energy Therapy RONALDD. WHITMONT, MD President, Homeopathic Medical Society of the State of New York, Rhinebeck, New York Homeopathy With a Special Focus on Treatment of Cardiovascular Diseases ALANWITKOWER, EDD, CGP Instructor, Harvard Medical School; Clinical Associate, Department of Psychiatry, Massachusetts General Hospital; Director of Psychology, Pain Program, Spaulding Rehabilitation Hospital, Boston, Massachusetts Cognitive-Behavioral Therapy in Cardiac Illness ANDREWI. WOLFF, MD Resident, Internal Medicine, Strong Memorial Hospital, Rochester, New York The Placebo Effect in Cardiovascular Disease Chelation Therapy Animal-Assisted Therapy and Cardiovascular Disease JONATHANE.E. YAGER, MD Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina Prayer and Cardiovascular Disease To all those health care providers who have preceded us, who currently work with us, and who will follow us PREFACE More and more individuals are looking outside the borders of conventional medicine for at least part of their health care needs. In the United States, more visits are being made to nonconventional healers than to physicians, at an annual cost of over $30 billion; most of this cost is out-of-pocket. As a health care discipline, alternative medicine has been defined in recent years as medical approaches that were not traditionally addressed in allopathic medical schools. Complementary medicineis a term first used in Great Britain to describe the use of alternative medicine as an adjunct to, and not primarily a replacement for, conventional medical care. In the 21stcentury, there is an ongo- ing effort to integrate complementary and alternative medicine (CAM) into conventional medicine practice (Integrative Medicine). In 1998, the National Institutes of Health, recognizing the need to vigorously evaluate CAM thera- pies, created the National Center for Complementary and Alternative Medicine (NCCAM), which supports ongoing research. Multiple medical centers have formed Centers of Integrative Medicine, and most medical schools are now offering course work in complementary/alternative medicine. Many of the complementary and alternative medicine modalities, as defined today, have been used for thousands of years as the mainstay of the healing arts in various cultures and societies. Chinese medicine has used bioenergy (“qi” manipu- lation [qi gong], insertion of needles [acupuncture] and ingestion [herbs and foods]) as part of a systematic approach to health care. Practitioners of Indian med- icine (Ayurveda and Yoga) have used the combination of meditation and exercise as part of their healing approach. Native American medicine emphasizes “shaman- ism” and spiritualism. Recently, western medicine has included the development of allopathic medicine along with the CAM fields of homeopathy, vitamin therapy, osteopathic manual manipulation, chelation therapy, and talk therapies. The scientific community no longer ignores the worldwide exponential surge in public enthusiasm for CAM therapies. This surge in interest relates to the chronicity of many illnesses, the information explosion on the Internet, and a more active participation of individuals in their own health care. At the same time, a large percentage of individuals who use CAM therapies do not even inform their personal physicians of this activity, making them vulnerable to the possible adverse effects from herb-drug interactions and other potential side effects of CAM treatments. CAM therapies have also been used to treat cardiovascular disorders for thousands of years. However, the use of CAM for treating cardiovascular dis- ease is a highly-charged subject, with both critics and proponents. Critics do not understand or accept anecdotal statements of benefit from CAM and demand rigorous placebo-controlled studies. These are essentially lacking in most situa- tions. CAM therapies are a challenge to the scientific training of many cardio- vascular physicians, with most positive observations being considered a placebo effect. However, physicians can no longer turn a deaf ear to the possibilities of CAM, and a growing number are already integrating CAM into their practices or are referring their patients to other CAM practitioners. The American College of Cardiology is sponsoring an annual course on CAM as part of its xv
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