The relationship between acute life stress and the development of atrial fibrillation (AF) has been noted in the literature. However, the use of integrative medicine (IM) in restoring cardiac rhythm has not been adequately studied. This case report describes how an IM approach was used in a patient with atrial fibrillation and acute pain. Spontaneous cardioversion to normal sinus rhythm occurred during the IM session, in addition to marked decreases in self-reported pain, anxiety, and nausea at the conclusion of IM treatment. These results provide initial support that for some cases of AF, IM therapies can help to reduce costs via avoidance of additional hospitalization, electrocardioversion, and general anesthesia.
GoAS, HylekEM, PhillipsKAPrevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study.JAMA.2001May 9; 285(18): 2370–5.
3.
WannLS, CurtisAB, JanuaryCTACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (Updating the 2006 Guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol.2011Jan 11; 57(2): 223–42.
4.
BoonH, VerhoefM, O'HaraD, FindlayB, MajidN. Integrative healthcare: arriving at a working definition.Altern Ther Health Med.2004Sep-Oct;10(5): 48–56.
5.
JohnsonC. Health care transitions: a review of integrated, integrative, and integration concepts.J Manipulative Physiol Ther.2009Nov-Dec;32(9): 703–13.
KshettryVR, CaroleLF, HenlySJ, SendelbachS, KummerB. Complementary alternative medical therapies for heart surgery patients: feasibility, safety, and impact.Ann Thorac Surg.2006 Jan; 81(1): 201–5.
8.
BauerBA, CutshallSM, WentworthLJEffect of massage therapy on pain, anxiety, and tension after cardiac surgery: a randomized study.Complement Ther Clin Pract.2010 May; 16(2): 70–5.
9.
AdamsR, WhiteB, BeckettC. The effects of massage therapy on pain management in the acute care setting.Int J Ther Massage Bodywork.2010Mar 17; 3(1): 4–11.
10.
CarrollD, SeersK. Relaxation for the relief of chronic pain: a systematic review.J Adv Nurs.1998 Mar; 27(3): 476–87.
11.
MontgomeryGH, DavidD, WinkelG, SilversteinJH, BovbjergDH. The effectiveness of adjunctive hypnosis with surgical patients: a meta-analysis.Anesth Analg.2002 Jun; 94(6): 1639–45., table of contents.
12.
CassilethBR, VickersAJ. Massage therapy for symptom control: outcome study at a major cancer center.J Pain Symptom Manage.2004 Sep; 28(3): 244–9.
13.
DusekJA, FinchM, PlotnikoffG, KnutsonL; Penny George Institute for Health and Healing Inpatient Care Team. The impact of integrative medicine on pain management in a tertiary care hospital.J Patient Saf.2010 Mar;6(1):48–51.
14.
CurtisM. The use of massage in restoring cardiac rhythm.Nurs Times.1994Sep 21-27;90(38): 36–7.
15.
LomuscioA, BellettiS, BattezzatiPM, LombardiF. Efficacy of acupuncture in preventing atrial fibrillation recurrences after electrical cardioversion.J Cardiovasc Electrophysiol.2011 Mar; 22(3): 241–7.
16.
LakkireddyD, PillarisettiJ, AtkinsDImpact of yoga on arrhythmia burden and quality of life (QoL) in patient with symptomatic paroxysmal atrial fibrillation: the yoga my heart study.J Am Coll Cardiol.2011; 57(14): E129.
17.
AlbertNM, GillinovAM, LytleBW, FengJ, CwynarR, BlackstoneEH. A randomized trial of massage therapy after heart surgery.Heart Lung.2009Nov-Dec;38(6): 480–90.
18.
MattioliAV, BonattiS, ZennaroM, MattioliG. The relationship between personality, socio-economic factors, acute life stress and the development, spontaneous conversion and recurrences of acute lone atrial fibrillation.Europace.2005 May; 7(3): 211–20.
19.
MattioliAV, BonattiS, ZennaroM, MelottiR, MattioliG. Effect of coffee consumption, lifestyle and acute life stress in the development of acute lone atrial fibrillation.J Cardiovasc Med (Hagerstown).2008 Aug; 9(8): 794–8.
20.
SharkeySW, LesserJR, ZenovichAGAcute and reversible cardiomyopathy provoked by stress in women from the United States.Circulation.2005Feb 1; 111(4): 472–9.
21.
ClassenDC, PestotnikSL, EvansRS, LloydJF, BurkeJP. Adverse drug events in hospitalized patients.Excess length of stay, extra costs, and attributable mortality.1997Jan 22-29;277(4): 301–6.
22.
MiddletonC. Understanding the physiological effects of unrelieved pain.Nurs Times.2003Sep 16-22;99(37): 28–31.
23.
von KänelR, HariR, SchmidJP, SanerH, BegréS. Distress related to myocar-dial infarction and cardiovascular outcome: a retrospective observational study.BMC Psychiatry.2011Jun 10; 11: 98.
24.
WhiteheadDL, StrikeP, Perkins-PorrasL, SteptoeA. Frequency of distress and fear of dying during acute coronary syndromes and consequences for adaptation.Am J Cardiol.2005Dec 1; 96(11): 1512–6.
25.
DusekJA, BensonH. Mind-body medicine: a model of the comparative clinical impact of the acute stress and relaxation responses.Minn Med.2009; 92: 47–50.
26.
DusekJA, OtuHH, WohlhueterALGenomic counter-stress changes induced by the relaxation response.PLoS One.2008Jul 2; 3(7): e2576.
27.
BensonH, BearyJF, CarolMP. The relaxation response.Psychiatry.1974 Feb; 37(1): 37–46.
28.
BensonH, RosnerBA, MarzettaBR, KlemchukHM. Decreased blood-pressure in pharmacologically treated hypertensive patients who regularly elicited the relaxation response.Lancet.1974Feb 23; 1(7852): 289–91.
29.
DaniasPG, CaulfieldTA, WeignerMJ, SilvermanDI, ManningWJ. Likelihood of spontaneous conversion of atrial fibrillation to sinus rhythm.J Am Coll Cardiol.1998Mar 1; 31(3): 588–92.
30.
Tejan-SieSA, MurrayRD, BlackIWSpontaneous conversion of patients with atrial fibrillation scheduled for electrical cardioversion: an ACUTE trial ancillary study.J Am Coll Cardiol.2003Nov 5; 42(9): 1638–43.
