Unstable Angina

Unstable Angina

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Turmeric [1, 6, 7, 8, 9, 10, 11]:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: No recommendation (There is insufficient evidence to support claims that turmeric can help in the treatment of angina. More research is needed.)

Grade of Evidence: very low quality of evidence

Pine Bark Extract [1, 3, 4, 5]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: weakly in favor  (Early studies indicate potential for Pine bark extract in the treatment of angina, but more clinical studies need to be done)

Grade of Evidence: low quality of evidence

Cats Claw (Uncaria Tomentosa) [1, 2]:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: no recomendation (insufficient evidence to support claims that Cats Claw can help to treat angina)

Grade of Evidence: very low quality of evidence

Red Pepper (Capsaicin):

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (Available evidence does not support claims that Red Peppers help to treat or prevent angina in any way)

Grade of Evidence: low quality of evidence

Astragalus (Astragalus Membranaceus):

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (There is insufficient evidence to support claims that Astragalus helps to treat angina)

Grade of Evidence: very low quality of evidence

Neural Therapy:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (there is insufficient evidence to show that Neural Therapy can help treat Angina in any way)

Grade of Evidence: very low quality of evidence

Yoga:

Recommendation: weakly in favor(There is some evidence that yoga, when used with conventional medicine, can help relieve symptoms related to heart disease)

Grade of Evidence: low quality of evidence

Qigong:

Recommendation: no recommendation (there is insufficient evidence to show that Qigong can help treat Angina in any way)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.nutrasanus.com/cats-claw.html

3. http://www.clinicaltrials.gov/ct/show/NCT00214032

4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/pine-bark-extract

5. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-pycnogenol.html

6. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/turmeric

7. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-turmeric.html

8. http://nccam.nih.gov/health/turmeric/index.htm

9. http://news.bbc.co.uk/2/hi/health/1668932.stm

10. http://www.mirror.co.uk/news/top-stories/2009/10/28/curry-kills-cancer-cells-and-other-health-benefits-of-the-nations-favourite-dish-115875-21779950/

11. http://clinicaltrials.gov/ct2/results?term=turmeric

12. http://www.nlm.nih.gov/medlineplus/ency/article/000201.htm

13. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE Jr., et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. J Am Coll Cardiol. 2007;50:e1-e157.

14. Antman EM. ST-Elevation Myocardial Infarction: Management. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 51.

15. http://www.hearthealthywomen.org/cardiovascular-disease/unstable-angina-mild-heart-attack/mild-heart-attack.html

16. http://health.nytimes.com/health/guides/disease/unstable-angina/overview.html

17. http://www.umm.edu/ency/article/000201sym.htm

18. http://heartdisease.about.com/cs/coronarydisease/a/unstableangina.htm

19. http://www.nejm.org/doi/full/10.1056/NEJM200001133420207

20. http://www.aafp.org/afp/2004/0801/p525.html

21. http://emedicine.medscape.com/article/159383-overview

22. http://circ.ahajournals.org/cgi/content/full/98/21/2219

23. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine


 

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