以阿育吠陀为基础的治疗、生活方式和饮食改变对心力衰竭患者射血分数降低的影响：一项回顾性研究

IF 1.7 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Journal of Ayurveda and Integrative Medicine Pub Date : 2025-03-01 DOI:10.1016/j.jaim.2024.101083

Rohit Sane , Rahul Mandole , Gurudatta Amin , Tejashree Jadhav , Prafull Yashwantrao , Snehal Dongre , Swapnil Srivastav

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引用次数: 0

摘要

背景：慢性心力衰竭（CHF）的治疗相当具有挑战性，其预后仍然很差。因此，需要改变生活方式的替代和传统治疗方法来提高生活质量。其中一种方法是心力衰竭逆转治疗（HFRT），包括Snehana（按摩）、Swedana（发酵疗法）、Basti（直肠给药）和Hridaydhara。目的评价HFRT治疗CHF合并心力衰竭伴射血分数降低（HFrEF）患者的效果，并将其临床获益和血流动力学参数的变化联系起来，以期改善患者的生活质量。方法本研究评估了2021年5月至2021年10月在Madhavbaug医院就诊的已知CHF患者的数据。完成7天HFRT治疗（12个疗程，第1天和第7天各1次，其余2天/天）的NYHA I、II、III和LVEF<；40级患者包括在研究中。分析hfrt前后血压、腹围（ABG）和心脏参数[舒张末期容积（EDV）、射血因子（EF）、全身血管阻力（SVR）、6分钟步行试验（6 MW T）等]的数据。结果85例平均年龄57岁的CHF患者和67例（78.8%）男性纳入研究。计算的EF、6 MW T、冲程体积和SVR发生了显著变化(p <；hfrt干预后第7天0.05)。BMI、ABG、EDV、SV、CO虽呈阳性变化，但无统计学意义。结论hfrt对血流动力学有显著影响，6 MW T的改善对血流动力学也有积极影响，从而提高了患者的生活质量。

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Impact of one week of Ayurveda-based therapy, lifestyle and diet modification in heart failure patients with reduced ejection fraction: A retrospective study

Background

Management of Chronic Heart Failure (CHF) is quite challenging, and its prognosis remains poor. Thus, alternative and conventional treatment approaches with lifestyle modifications are needed to enhance the quality of life. One such approach is heart failure reversal treatment (HFRT) that includes Snehana (massage), Swedana (fomentation therapy), Basti (per rectal drug administration), and Hridaydhara.

Objective

The present study evaluated the effect of HFRT in CHF patients with heart failure with reduced ejection fraction (HFrEF), and relate the clinical benefit and change in hemodynamic parameters intending to improve the quality of life.

Methods

This study evaluated data from known CHF patients who visited the Madhavbaug Hospital between May 2021 to October 2021. Patients of either gender with NYHA Class I, II, III and LVEF<40 who completed 7-day (12 sessions, one each at day 1 and 7 and remaining days 2 sessions/day) HFRT therapy were included in the study. Data on blood pressure, abdominal girth (ABG) and cardiac parameters [End diastolic volume (EDV), Ejection factor (EF), Systemic vascular resistance (SVR), 6-min walk test (6 MW T), etc. was analysed pre and post-HFRT.

Results

85 CHF patients with a mean age of 57 years and 67 (78.8%) males were enrolled in the study. The calculated EF, 6 MW T, stroke volume, and SVR significantly changed (p < 0.05) on Day 7 post-HFRT intervention. Though, BMI, ABG, EDV, SV and CO showed a positive change, it was not statistically significant.

Conclusion

HFRT demonstrated a significant change in the hemodynamics, which was also impacted positively by the improvement in 6 MW T, thereby enhancing the quality of life.

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