Acupuncture Therapy, Post-Operative Atrial Fibrillation
Conditions
Brief summary
A feasibility study on the provision of acupuncture treatment in the hospital to 20 patients who have undergone open heart surgery procedures. The acupuncture treatments may begin as early as postoperative Day 2.
Detailed description
Primary Aim • Evaluate the feasibility of providing acupuncture in the hospital setting for 20 patients undergoing open heart surgery and subsequently develop arrhythmias. Secondary Aims • Evaluate the short-term effect of acupuncture including the effects on patient's arrhythmias, stress, anxiety, and pain measured by Electrocardiogram monitoring and Electrocardiography, VAS scores, and WIWI questionnaire for the patient.
Interventions
PROCEDUREAcupuncture
The subject is placed in the selected position (lying down or sitting), based on their comfort level. The areas to be needled are prepped with an alcohol swab. Mandatory standards and safety guidelines for acupuncture will be followed. The acupuncture treatment protocol will be based on Traditional Chinese Medicine (TCM) theory. The TCM treatment strategy is designed to Benefit the Heart, Tonify Heart Qi and Blood, Calm and Sedate Cardiac Excitability and Regulate the Qi. Current literature supports the use of selected acupuncture points as possibly beneficial in regulating the autonomic nervous system, modulating Heart Rate Variability (HRV), relieving chest pain, and reducing arrhythmias. 11 sterile, single use, disposable needles will be placed one by one until all needles are in place. Needles remain in place for additional 20 minutes or so as the patient remains in the selected position .
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients who have undergone CABG and/or cardiac valve operations. 2. Patients developing postoperative atrial fibrillation, and documented by ECG prior to acupuncture intervention, and treated with the common anti arrhythmic treatment of the department. 3. Patients moving to the step-down unit on postoperative day 2 or later. 4. Ability to provide informed consent. 5. Ability to speak English and complete all aspects of this trial. 6. At least 18 years of age.
Exclusion criteria
1. Patients with any other cardiac or non-cardiac concomitant procedures. 2. Patients with suspected sternal wound infection and/or with prolonged sternal wound dressing and wound- Vac-system application or open chest wound. 3. Patients with abnormal postoperative track staying in the intensive care unit for any clinical reason or hemodynamic compromise. 4. Patients with platelet count \<50,000 5. Patients in a severe immunocompromised state. 6. Pregnant women. All patients who meet the criteria will have their medical records reviewed to ensure they are not pregnant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acupuncture treatment in the hospital setting | 3 days post surgery | The number of patients that complete acupuncture treatment in the hospital setting for patients having undergone heart surgery. |
Secondary
| Measure | Time frame |
|---|---|
| Number of patients with recurrent atrial fibrillation | 3 consecutive days post-surgery |
Countries
United States
Outcome results
None listed