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. 2024 Jun 15;16(6):2662-2669.
doi: 10.62347/KIFR7353. eCollection 2024.

Effect of acupuncture and exercise rehabilitation on quality of life in acute coronary syndrome patients after percutaneous coronary intervention

Ni Zhang  1 , Bingqing Xie  2 , Jiangxin Du  2 , Quancai Gao  2
Affiliations

Effect of acupuncture and exercise rehabilitation on quality of life in acute coronary syndrome patients after percutaneous coronary intervention

Ni Zhang et al. Am J Transl Res. .

Abstract

Objective: This study assessed the impact of acupuncture combined with exercise rehabilitation on the quality of life in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI).

Methods: In a retrospective study at the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, 114 post-PCI ACS patients were analyzed from March 2021 to June 2023. Fifty-five underwent exercise rehabilitation (control group), while 59 received both acupuncture and exercise rehabilitation (joint group). Propensity score matching reduced each group to 38 patients. Traditional Chinese Medicine (TCM) scores, 6-minute walk distance, cardiac function, and biochemical indices were evaluated pre- and post-intervention. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) measured quality of life changes, categorizing scores <24 as good and ≥24 as poor. Logistic regression identified factors affecting quality of life.

Results: The joint group showed significant improvements in TCM scores, 6-minute walk distance, left ventricular end-diastolic diameter, left ventricular ejection fraction, cardiac output, cardiac index, and levels of CK-MB, cTnT, and homocysteine compared to the control group (P<0.05). MLHFQ scores for physical limitations and disease symptoms decreased significantly in the joint group, with no marked changes in social relationship scores (P>0.05).

Conclusions: Acupuncture alongside exercise rehabilitation significantly improves quality of life, cardiac function, and biochemical markers in ACS patients post-PCI, surpassing the effects of rehabilitation alone. This combination approach notably diminishes symptoms and improves daily functioning.

Keywords: Acupuncture; acute coronary syndrome; exercise rehabilitation; percutaneous coronary intervention.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Changes in cardiac function before and after intervention. A. Comparison of changes in LVEDD. B. Comparison of LVEF changes. C. Comparison of CO changes. D. Comparison of CI changes. Note: nsP>0.05, *P<0.05, ***P<0.001. LVEDD, Left Ventricular End-Diastolic Diameter; LVEF, Left Ventricular Ejection Fraction; CO, Cardiac Output; CI, Cardiac Index.
Figure 2
Figure 2
Changes in MLHFQ scale of patients before and after intervention. A. Comparison of changes in physical limitations. B. Comparison of changes in disease symptoms. C. Comparison of changes in social relationships. D. Comparison of changes in total scores. Note: nsP>0.05, *P<0.05, ***P<0.001. MLHFQ, Minnesota Cardiac Insufficiency Quality of Life Scale.
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References

    1. Schwartz GG, Steg PG, Szarek M, Bhatt DL, Bittner VA, Diaz R, Edelberg JM, Goodman SG, Hanotin C, Harrington RA, Jukema JW, Lecorps G, Mahaffey KW, Moryusef A, Pordy R, Quintero K, Roe MT, Sasiela WJ, Tamby JF, Tricoci P, White HD, Zeiher AM ODYSSEY OUTCOMES Committees and Investigators. Alirocumab and cardiovascular outcomes after acute coronary syndrome. N Engl J Med. 2018;379:2097–2107. - PubMed
    1. Wang Z, Ma L, Liu M, Fan J, Hu S Writing Committee of the Report on Cardiovascular Health and Diseases in China. Summary of the 2022 Report on Cardiovascular Health and Diseases in China. Chin Med J (Engl) 2023;136:2899–2908. - PMC - PubMed
    1. Masoudi FA, Ponirakis A, de Lemos JA, Jollis JG, Kremers M, Messenger JC, Moore JWM, Moussa I, Oetgen WJ, Varosy PD, Vincent RN, Wei J, Curtis JP, Roe MT, Spertus JA. Trends in U.S. cardiovascular care: 2016 report from 4 ACC National Cardiovascular Data Registries. J Am Coll Cardiol. 2017;69:1427–1450. - PubMed
    1. Rajkumar CA, Foley MJ, Ahmed-Jushuf F, Nowbar AN, Simader FA, Davies JR, O’Kane PD, Haworth P, Routledge H, Kotecha T, Gamma R, Clesham G, Williams R, Din J, Nijjer SS, Curzen N, Ruparelia N, Sinha M, Dungu JN, Ganesananthan S, Khamis R, Mughal L, Kinnaird T, Petraco R, Spratt JC, Sen S, Sehmi J, Collier DJ, Sohaib A, Keeble TR, Cole GD, Howard JP, Francis DP, Shun-Shin MJ, Al-Lamee RK ORBITA-2 Investigators. A placebo-controlled trial of percutaneous coronary intervention for stable angina. N Engl J Med. 2023;389:2319–2330. - PMC - PubMed
    1. Scafa-Udriste A, Itu L, Puiu A, Stoian A, Moldovan H, Popa-Fotea NM. In-stent restenosis in acute coronary syndrome-a classic and a machine learning approach. Front Cardiovasc Med. 2023;10:1270986. - PMC - PubMed

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