[논문]어지럼증을 호소하는 서맥성 부정맥 환자의 한의복합치료 1례

정소민; 이성욱; 하원정; 조기호; 문상관; 정우상; 권승원; 이한결

어지럼증을 호소하는 서맥성 부정맥 환자의 한의복합치료 1례
A Case of Patient with Brady-arrhythmia Complaining Dizziness Treated with complex Korean Medicine treatments 원문보기

대한중풍·순환신경학회지 = The journal of the society of stroke on korean medicine, v.23 no.1, 2022년, pp.41 - 54

정소민 (경희대학교 대학원 임상한의학과) , 이성욱 (경희대학교 대학원 임상한의학과) , 하원정 (경희대학교 대학원 임상한의학과) , 조기호 (경희대학교 대학원 임상한의학과) , 문상관 (경희대학교 대학원 임상한의학과) , 정우상 (경희대학교 대학원 임상한의학과) , 권승원 (경희대학교 대학원 임상한의학과) , 이한결 (경희대학교 한의과대학 순환신경내과학교실)

Abstract ▼ AI-Helper

Brady-arrhythmia is defined as an arrhythmia in which the heart rate slows to less than 60 beats per minute. Brady-arrhythmia reduces cardiac output and causes changes in blood flow. As a result, dizziness occurs because not only ischemia occurs in the central nervous system, but also blood flow in major organs decreases. The insertion of an artificial pacemaker is known as almost the only treatment alternative for patients with brady-arrhythmia with symptoms. This study reports a case of 85 year old male diagnosed with brady-arrhythmia complaining presyncope type of dizziness. The patient underwent complex Korean medicine treatments by herbal medicine, acupuncture and moxibustion. The daily average value of pulse rate, K-DHI score, NRS score and the patient's subjective expression of symptoms were used as evaluation tools. This study suggested a significant improvement in symptoms through complex Korean medicine treatments without the use of anti-arrhythmic drugs or insertion of an artificial pacemaker in the patient with brady-arrhythmia complaining dizziness.

주제어

표/그림 (10)

그림 Fig. 1. Brain computed tomography(X년 6월 29일)
그림 Fig. 2. Brain magnetic resonance imaging(X년 6월 29일)
그림 Fig. 3. Cardiac angio computed tomography(X년 7월 4일) Mild to moderate stenosis of coronary artery(Agatston score 330)
그림 Fig. 4. Electrocardiogram(X년 7월 1일) Marked sinus bradycardia with sinus arrhythmia(Heart rate 39)
그림 Fig. 5. Transthoracic echocardiography(X년 7월 7일) Grade 2 diastolic dysfunction
표 Table 1. Composition of Yangsim-Tang
표 Table 2. Composition of Banhabakchulchunma-tang
그림 Fig. 6. 맥박수의 일 평균값
그림 Fig. 7. Korean Dizziness Handicap Inventory 점수
그림 Fig. 8. 어지럼증의 Numeric Rating Scale 점수

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