"רפואה משלימה במערך שיקום הלב"

Embed Size (px)

DESCRIPTION

"רפואה משלימה במערך שיקום הלב". אופיר פוגל, נטורופת. www.heartcenter.co.il. מטרות המפגש. הכרות עם הרפואה המשולבת ואופציות שילובה במערך שיקום הלב. לקבל ידע, לחוות, לפתוח אופציות חשיבה נוספות. ליהנות, להתחבר, להתרגז... לרכוש כלים בסיסיים בעלי פוטנציאל "לשדרג" כל מפגש טיפולי. סדר הדברים. - PowerPoint PPT Presentation

Text of "רפואה משלימה במערך שיקום הלב"

  • " " , www.heartcenter.co.il

  • . , , ., , ... "" .

  • .

  • Any of the systems of medical diagnosis and treatment differing in technique from that of the allopathic practitioners use of drugs and surgery to treat disease and injury. Mosbys Dictionary

    : (, , ) => => =>30 : => =>

  • , , ...

    VITAL FORCE

  • 5000 . .: -

  • - - , , . , . , . - -, - :

  • NAITURE - PATH : ASKLEPION, . : HYGIEA, .

    :1. 2. 3. 4. 5. 6. 7.

  • 1. , , , , , .2. .3. , .

    .

  • : 1. " " 2. 3. .:1 . 2. PROVING 3. .

    : , .

  • ?

    ...

  • The role of complementary and alternative therapies in cardiac rehabilitation: a systematic evaluation.Eur J Cardiovasc Prev Rehabil. 2006 Feb;13(1):3-9

    BACKGROUND: This paper presents a systematic evaluation of current research evidence related to use of specific complementary and alternative medicine therapies in secondary prevention of cardiovascular disease, with a view to making recommendations for cardiac rehabilitation.DESIGN AND METHODS: A literature search was conducted using complementary and alternative medicine websites, Medlineto locate research-based scientific evidence related to the use of complementary and alternative medicine in cardiac rehabilitation

  • RESULTS: Some complementary and alternative medicine therapies may be useful to patients by themselves or coupled with traditional cardiac rehabilitation. Tai chi, as a complement to existing exercise interventions, can be utilized for low and intermediate risk patients. transcendental meditation may be used as a stress reduction technique. There was insufficient evidence found for the use of acupuncture or chelation therapy in cardiac rehabilitation or secondary prevention.

    CONCLUSIONS: Some complementary and alternative medicine therapies hold promise for patients in cardiac rehabilitation. Further research is essential

  • ': VO2 ( CABG, ) ( MI, ). ( , ).: , ... , post-traumatic stress disorder, improved self-concept , .

  • Observational, descriptive, cross-sectional or case studies were not included"Therapies such as massage, relaxation and other conventional stress management techniques were not included, primarily because they are considered within the realm of mainstream Western medicine . : . ( ). ...

  • Complementary alternative medical therapies for heart surgery patients: feasibility, safety, and impact. Ann Thorac Surg. 2006 Jan;81(1):201-5. BACKGROUND: Complementary therapies are used as successful adjuncts in treatment of pain in chronic conditions. Little is known about their effectiveness in care of heart surgery patients. Our objective is to evaluate feasibility, safety, and impact of a complementary alternative medical therapies package for heart surgery patients METHODS: 104 patients undergoing open heart surgery were prospectively randomized to receive either complementary therapy (preoperative guided imagery training with gentle touch or light massage and postoperative music with gentle touch or light massage and guided imagery) or standard care. Heart rate, systolic and diastolic blood pressure, and pain and tension were measuredComplications were abstracted from the hospital record.

  • RESULTS: Virtually all patientscompleted the study.- Heart rate and blood pressure patterns were similar.- Decreases in heart rate and systolic blood pressure in the complementary therapies group were judged within the range of normal values.- Complication rates were very low and occurred with similar frequency in both groups.- Pretreatment and posttreatment pain and tension scores decreased significantly in the complementary alternative medical therapies group on postoperative days 1 (p < 0.01) and 2 (p < 0.038)

    CONCLUSIONS: Complementary medical therapy was not associated with safety concerns and appeared to reduce pain and tension during early recovery from open heart surgery.

  • ( ) 20 . Previous CAM trails in acute care settings studied single therapeutic modalities Guided imagery, music, and relaxation therapy positively impacted a range of physiologic (heart rate, blood pressure), biobehavioral (anxiety, fatigue) and social (patient satisfaction) end points when therapies were provided for a period of days to weeks. . .

  • ', ' ,

  • " ". .

    As technology around us develops ,the need for human touch emerges . Joun Nicebit: Megatrends

    :muscle release, enhance blood flow, enhancing toxic drainage (mainly by the lymph system), elevation in hemoglobin, pain relief, immune system support: Enhancing T cells production, Elevating NK in breast cancer and AIDS patients, Improved WBC count Neutrophils in luikemia The Touch Research Institutes, MIAMI University, Floridahttp://www.miami.edu/touch-research/List%20of%20Studies.html

  • AHA Scientific Statement: Diet & Lifestyle Recommendation Revision 2006 . "". : very low fat diet :"" : , , //, . : , , . ? 9 ( )

  • Are vegetarian diets healthful? AHA websiteMost vegetarian diets are low in animal products. Theyre also usually lower than nonvegetarian diets in total fat, saturated fat and cholesterol. Many studies have shown that vegetarians seem to have a lower risk of obesity, coronary heart disease, high blood pressure, diabetes mellitus and some forms of cancer.

  • " ' " " . " , 32 , : , ". , : . ', 50%. 90% .

  • , ...

    ?!!!, , , , , , ..., , , .

  • 3 ( ?)Q10 - ??? E??? Salvia miltiorrhiza ( )Rhodiola ( ).Crataegus ( , CHF, , ).Ammi visnaga ( ).

  • Summary of Recommendations for Omega-3 Fatty Acid Intake - AHA

  • 3AHA Scientific Statement (Circulation 2002) Reduced sudden cardiac deathPrevent restenosis Hypotensive effect (small but dose-depended effect)Decrease platelet aggregationAntiarrhythmic effectImprove endothelial functionAnti-inflammatory

  • The impact of coenzyme Q10 on systolic function in patients with chronic heart failure.Meta-Analysis : J Card Fail. 2006 Aug;12(6):464-72. BACKGROUND: CoQ10 has been touted to improve heart failure, but its effect on systolic function is controversialWe conducted a meta-analysis of these trials to evaluate the impact of CoQ10 therapy on ejection fraction and cardiac output.

    METHODS AND RESULTS: A systematic literature search was conducted to identify randomized, controlled trials of CoQ10 in heart failureThere was a 3.7% net improvement in ejection fraction (95% CI 1.59-5.77; P < .00001 for statistical heterogeneity).

  • A more profound effect among patients not receiving angiotensin-converting enzyme inhibitors was observed (6.74% [95% CI 2.63-10.86]).Cardiac output increased an average of 0.28 L/minute (95% CI 0.03-0.53; P = .96 for statistical heterogeneity).

    CONCLUSION: CoQ10 enhances systolic function in chronic heart failure, but its effectiveness may be reduced with concomitant use of current standard therapies.

  • Effect of coenzyme Q10 on risk of atherosclerosis in patients with recent myocardial infarction Mol Cell Biochem. 2003 Apr;246(1-2):75-82.In a randomized, double-blind, controlled trial, the effects of oral treatment with coenzyme Q10 (CoQ10, 120 mg/day)were compared for 1 year, on the risk factors of atherosclerosis, in 73 (CoQ, group A) and 71 (B vitamin group B) patients after acute myocardial infarction (AMI). After 1 year, total cardiac events (24.6 vs. 45.0%, p < 0.02) including non-fatal infarction (13.7 vs. 25.3%, p < 0.05) and cardiac deaths were significantly lower in the intervention group compared to control group.

  • Q10, . Q10 . . . . (a) ( ) " "

  • Cardioprotective effects of magnesium sulfate in patients undergoing primary coronary angioplasty for acute myocardial infarction.Circ J. 2004 Jan;68(1):23-8. Randomized Controlled Trial CONCLUSION: Magnesium sulfate as an adjunct to primary coronary intervention shows favorable functional outcomes in patients with AMI.

    Antiarrhythmic effect of magnesium sulfate after open heart surgery: effect of blood levels. Int J Cardiol. 2003 Jun;89(2-3):153-8. Randomized Controlled Trial CONCLUSIONS: Magnesium sulfate is an effective and safe antiarrhythmic agent for arrhythmias developed after open-heart surgery.

  • Acute and chronic oral magnesium supplementation: effects on endothelial function, exercise capacity, and quality of life in patients with symptomatic heart failure. Congest Heart Fail. 2006 Jan-Feb;12(1):9-13. Randomized Controlled Trial This study suggests that chronic supplementation with oral magnesium is well tolerated and could improve endothelial function in symptomatic heart failure patients.

    A randomized controlled trial of magnesium sulfate, in addition to usual care, for rate control in atrial fibrillation Ann Emerg Med. 2005 Apr;45(4):347-53. Randomized Controlled Trial CONCLUSION: Magnesium sulfateenhances rate reduction and conversion to sinus rhythm in patients with rapid atrial fibrillation.

  • - - : 3, Q10, E, Patients taking more than 3 grams of omega-3 fatty acids from capsules should do so only under a physicians care. High intakes could cause excessive bleeding in some people (AHA Statement) +