DOI QR코드

DOI QR Code

A Case Report of Korean Medicine Treatment for Chest Pain in Variant Angina

변이형 협심증 환자의 흉통에 대한 한의치료 증례 1례

  • Junghwa Hong (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Eun-joo Seok (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Youngju Rhee (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Jae-hyuk You (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Jin-young Lee (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Dong-jun Choi (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital) ;
  • Seong-woo Lim (Dept. of Internal Korean Medicine, Dong-Guk University Ilsan Oriental Medical Hospital)
  • 홍정화 (동국대학교 일산한방병원 한방내과) ;
  • 석은주 (동국대학교 일산한방병원 한방내과) ;
  • 이영주 (동국대학교 일산한방병원 한방내과) ;
  • 유재혁 (동국대학교 일산한방병원 한방내과) ;
  • 이진영 (동국대학교 일산한방병원 한방내과) ;
  • 최동준 (동국대학교 일산한방병원 한방내과) ;
  • 임성우 (동국대학교 일산한방병원 한방내과)
  • Received : 2024.04.26
  • Accepted : 2024.06.03
  • Published : 2024.05.30

Abstract

Variant angina causes chest pain due to abnormal coronary vasospasms. A 60-year-old male who was diagnosed with variant angina was admitted to the Oriental Medicine Hospital and treated with herbal medicines, including Pyungjinsujeom-san and Simjeok-hwan. After treatment, the frequency of chest pain and use of nitroglycerin decreased. Subjective symptoms of chest pain measured using a numerical rating scale (NRS) also decreased. These improvements persisted throughout the hospitalization period. In conclusion, Korean medicines, including Pyungjinsujeom-san and Simjeok-hwan, can be effective for patients with chest pain due to variant angina.

Keywords

References

  1. Choi SH, Hwang SY. Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group. Korean J Adult Nurs 2020;32(2):199-208. https://doi.org/10.7475/kjan.2020.32.2.199
  2. Picard F, Sayah N, Spagnoli V, Adjedj J, Varenne O. Vasospastic angina: A literature review of current evidence. Arch Cardiovasc Dis 2019 Jan;112(1):44-55. https://doi.org/10.1016/j.acvd.2018.08.002
  3. Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J 2020 Jan 14;41(3):407-77. https://doi.org/10.1093/eurheartj/ehz425
  4. Munzel T, Gori T. Nitrate therapy and nitrate tolerance in patients with coronary artery disease. Curr Opin Pharmacol 2013 Apr;13(2):251-9. https://doi.org/10.1016/j.coph.2012.12.008
  5. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean MedicineI. Seoul: Wooripub; 2018, p. 118-35.
  6. Braunwald E. Fauci A, Kasper D, Hauser S, Longo D, Jameson J. Harrisons Principles of Internal Medicine, 15th Edition. USA: McGraw-Hill; 2004, p. 1741.
  7. Shin HY, Choi JW, Kim HR, Lee SH, Yang SB, Cho SY, et al. The Effectiveness of Pyungjinsujeom-san on Chest Pain: A Retrospective Study. J Int Korean Med 2019 Dec 31;40(6):1051-62. https://doi.org/10.22246/jikm.2019.40.6.1051
  8. Jang IS, Ko CN, Lee I, Park JM, Kim SH, Kim SW. Effect of Cardiotonic Pills® on Chest Pain and Discomfort: A Multi-center Double-blind Randomized Controlled Trial. Journal of Korean Medicine 2005 Jun;26(2):95-104.
  9. Lee DK, Hwang SH, Koh JY, Son AH, Shin HS. A Case Report of Two Nongastroesophageal Idiopathic Atypical Chest Pain Patients Treated by Gwaruhaebackbackju-tang and Gwaruhaebackbanha-tang. J Int Korean Med 2017 Jun 30;38(3):383-91. https://doi.org/10.22246/jikm.2017.38.3.383
  10. Kim EM, Jo HG. Korean Medicine Treatment for Chronic Atypical Chest Pain Diagnosed as Coronary Artery Disease: A Case Report. J Int Korean Med 2020 Sep 30;41(4):688-98. https://doi.org/10.22246/jikm.2020.41.4.688
  11. Yasue H, Takizawa A, Nagao M, Nishida S, Horie M, Kubota J, et al. Long-term prognosis for patients with variant angina and influential factors. Circulation 1988 Jul;78(1):1-9. https://doi.org/10.1161/01.CIR.78.1.1
  12. Cho SW, Park TK, Gwag HB, Lim AY, Oh MS, Lee DH, et al. Clinical Outcomes of Vasospastic Angina Patients Presenting With Acute Coronary Syndrome. JAHA 2016 Oct 26;5(11):e004336.
  13. Frieling T. Non-Cardiac Chest Pain. Visc Med 2018 Apr;34(2):92-6. https://doi.org/10.1159/000486440
  14. Song KK, Park MY, Kim DJ, Choi HY, Kim JD. A Case Report about a Patient with Fever from Deficiency of Qi after Prescribed Bojoongikkitang. Korean Journal of Herbology 2003;18(4):7-12.
  15. Yoon SH, Ryu BH, Ryu KW, Kim JS. Evaluation for Therapeutic Effectiveness of Banwhasashim-tang in Functional Dyspepsia. The Journal of Internal Korean Medicine 2003 Jun 30;24(2):329-36.
  16. 徐桂琴, 李国强, 付苗, 李忠志, 李雪苓. 基于网络药理学探讨手拈散治疗冠心病, 癌性疼痛和胃食管反流病异病同治的作用机制. 中国处方药 2022;20(7):16-9.
  17. Wang X, Hu DY, Sha O. Effect of compound paeonol dripping pill on levels of plasma inflammatory mediators in patients with unstable angina. Zhongguo Zhong Xi Yi Jie He Za Zhi 2008 May;28(5):395-8.
  18. Sun Y long, Yao Y li, Jia M jun, Sun Y yuan, Li H lin, Ruan X fen, et al. Evaluation of the efficacy and safety of Suxiao Jiuxin Pill in the treatment of stable angina: A randomized, double-blind, placebo-controlled, multi-center clinical trial. Journal of Ethnopharmacology 2024 Jan 10;318:116959.
  19. Li J, Zhang P, Zhang Y, Wang H, Wu L, Zhao J, et al. A Randomized Controlled Trial on the Efficacy of Xinnaoning Capsule in the Treatment of CSAP Complicated With Qi Stagnation and Blood Stasis Syndrome. Front Cardiovasc Med 2022;9:859956.
  20. Liu Y, Meng HY, Khurwolah MR, Liu JB, Tang H, Aa N, et al. Acupuncture therapy for the treatment of stable angina pectoris: An updated meta-analysis of randomized controlled trials. Complement Ther Clin Pract 2019 Feb;34:247-53. https://doi.org/10.1016/j.ctcp.2018.12.012
  21. He DF, Ren YL, Tang Y, Liang F. Application of data-mining to analyze characteristics of meridians and acupoints selected for acumoxibustion treatment of chest blockage in ancient literatures of different periods of ancient days. Liaoning Journal of Traditional Chinese Medicine 2013;40(6):1209-13.