Acupuncture plus aerobic exercise yielded greater improvements in LVEF (4.73% vs 1.88%) and 6-minute walk distance (88.32m vs 73.12m) than exercise alone in chronic coronary syndrome patients.
Does combining power bicycle aerobic training with acupuncture improve cardiopulmonary function and exercise tolerance in patients with stable chronic coronary syndrome?
Acupuncture combined with aerobic exercise significantly improves left ventricular ejection fraction and exercise capacity in patients with stable chronic coronary syndrome compared to aerobic exercise alone.
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Introduction: This study evaluated the efficacy and safety of combining power bicycle aerobic training with acupuncture in patients with chronic coronary syndrome (CCS). Methods: In this single-center randomized trial, 100 patients with stable CCS New York Heart Association (NYHA) I–II, left ventricular ejection fraction (LVEF) ≥40% were allocated to an observation group (power bicycle training plus acupuncture, n = 50) or a control group (power bicycle training alone, n = 50). Both received guideline-directed medical therapy. The intervention comprised three 3-week treatment cycles with 2-week washout periods. Outcomes included LVEF, peak oxygen uptake (VO 2 peak), anaerobic threshold (AT), peak power (PP), 6 min walk distance (6MWD), and Barthel index, assessed at baseline and posttreatment. The combined intervention group demonstrated significantly greater mean improvements from baseline to posttreatment in LVEF (4.73% vs. 1.88%) and 6MWD (88.32 m vs. 73.12 m) compared with the control group. Safety and needling sensation tolerability were monitored. Results: The observation group demonstrated significantly greater improvements in LVEF (62.19 ± 5.01% vs. 59.06 ± 4.77%, P = 0.002) and 6MWD (380.76 ± 13.42 m vs. 367.98 ± 10.65 m, P < 0.001) compared with controls. Superior gains in VO 2 peak, PP, and AT were also observed (all P < 0.05). No serious adverse events occurred, and visual analog scale scores for needling sensation remained low and stable. Conclusion: Power bicycle training combined with acupuncture significantly improves cardiopulmonary function and exercise tolerance in stable CCS patients, with excellent safety and tolerability. Acupuncture may serve as a beneficial adjunct to conventional aerobic exercise in cardiac rehabilitation.
Fang et al. (Mon,) reported a other. Acupuncture plus aerobic exercise yielded greater improvements in LVEF (4.73% vs 1.88%) and 6-minute walk distance (88.32m vs 73.12m) than exercise alone in chronic coronary syndrome patients.