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Cardiac Impact CAM Paper Healthcare Paper

HEALTHCARE

Healthcare: Cardiac Impact CAM Paper

The extensive use of Complementary and Alternative Medicine (CAM) has allowed the healthcare professional and the governmental bodies to re-think the strategies and policies that could offer a healthcare reform. It is of fundamental concern to comprehend what exactly comes under the definition of CAM. In the United States, CAM is interpreted to be an amalgamation of relaxation techniques, chiropractic, herbal treatment, and even including massage therapy (Institute of Medicine (US) Committee on the Use of Complementary and Alternative Medicine by the American Public, 2005). This paper investigates the use of CAM healthcare modalities, such as Ginseng, Hawthorn, L-Arginine, and St. Johns Wort that impact the cardiovascular system.

Ginseng

Effect on Cardiovascular System

The cardiovascular system is adversely affected when diseases like hypertension, dyslipidemia, peripheral vascular disease, and coronary artery disease are endured by the patient regardless of gender (Kim, 2012). The most common form of ginseng for CAM-based cardiovascular health is Panax ginseng that is considered beneficial in China, Japan, and Korea. Ginseng has proven effective in controlling hypertension, improving arterial functioning (Shaito et al., 2020). Other CVD management techniques provided by ginseng encompass anti-oxidant and anti-hyperlipidemic attributes and its use in anti-diabetic therapy. Dropping of central and peripheral arterial pressures has been extensively studied using this herb (Shaito et al., 2020).

Anticipated Benefits

Ginseng has anti-inflammation, anti-oxidation, and anti-cancer properties valuable to the nervous system (Kim, 2012). In terms of cardiovascular impact, it is used for treating elevated blood pressure levels. It improves blood circulation to promote cardiovascular health due to anti-hypertensive effects (Kim, 2012). Moreover, it protects from heart tissue damage, specifically when the organ is under stressful conditions (Kim, 2012). It is therefore considered harmless in terms of side effects due to this very feature. The heart rate and functioning have been explored to improve as it inhibits cardiomyocyte hypertrophy with the help of Nhe-1 inhibition and activation of calcineurin (Kim, 2012). The positive effects of ginseng on vascular endothelial cells have been noted as well. Further, the production of nitric oxide (NO) to control vascular smooth muscle functioning is due to ginseng (Kim, 2012).

Any Identified Risks or Adverse Effects

Though there is scarce evidence on the adverse effects of ginseng on cardiovascular health, its long-term use or high dosage has been associated with hypertension in 17% of the study participants and 10% with hypotension (Paik & Lee, 2015). These results were particularly concerning cardiovascular impact alongside other negative health impacts like morning diarrhea, skin flare-up, anxiety, wakefulness, edema, decreased appetite, and depression.

Relative Patient Education

The cardiovascular patients must know that it is suggested to be taken as a whole dried root, in the form of an extract, tea, or even a capsule (Cardiology Review Online, 2004). The active compounds in its composition are ginsenosides. The suitable dosage for gaining effective results for positive cardiovascular impact is 100 to 400 mg of ginseng extract daily. For ginseng root, 1 to 2g is recommended by German Commission E daily.

Hawthorn

Effect on Cardiovascular System

The use of Hawthorn has been effective in controlling blood pressure levels, which is a critical factor for cardiovascular health. The treatment with Hawthorn, specifically for hypotension, has also been noted since it creates a lasting pressoric effect (Tassell et al., 2010). This herb has controlled mild or moderate causes of heart failure. Vaso-relaxation from nitrous stimulation and excessive anti-oxidant activities have been known to produce a healthy cardiovascular impact.

Anticipated Benefits

Its usage with vasodilatory agents in the medications has not been reported as adverse for cardiac functioning (Tassell et al., 2010). Its numerous advantageous properties like anti-arrhythmic, hypotensive, and hypolipidemic effects on cardiovascular health are still in progress...

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Czirki, A., Lenkey, Z., Sulyok, E., Szokodi, I., & Koller, A. (2020). L-Arginine-nitric oxide-asymmetric dimethylarginine pathway and the coronary circulation: Translation of basic science results to clinical practice.Frontiers in Pharmacology,11, 569914. https://doi.org/10.3389/fphar.2020.569914

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Eggertsen, R., Andreasson, A. & Andren, L. (2007). Effects of treatment with commercially available St. Johns Wort product (Movina) on cholesterol levels in patients with hypercholesterolemia treated with simvastatin. Scandinavian Journal of Primary Healthcare, 25(3), 154-159. https://doi.org/10.1080/02813430701442768

Fisher, K. A., Patel, P., Abualula, S., & Concepion, L. (2021). St. Johns Wort-induced supraventricular tachycardia.Cureus,13(4), e14356. https://doi.org/10.7759/cureus.14356

Institute of Medicine (US) Committee on the Use of Complementary and Alternative Medicine by the American Public. (2005). Complementary and alternative medicine in the United States. National Academies Press (US).Available from: https://www.ncbi.nlm.nih.gov/books/NBK83804/

Kim J. H. (2012). Cardiovascular diseases and Panax ginseng: A review on molecular mechanisms and medical applications.Journal of Ginseng Research,36(1), 1626. https://doi.org/10.5142/jgr.2012.36.1.16

Li, H., Liu, Q., Zou, Z., Chen, Q., Wang, W., Baccarelli, A.A., Deng, F., Gua, X. & Wu, S. (2021). L-arginine supplementation to mitigate cardiovascular effects of walking outside in the context of traffic0realted air pollution in participants with elevated blood pressure: A randomized, double-blind, placebo-controlled trial. Environmental International, 156. https://doi.org/10.1016/j.envint.2021.106631

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Sources used in this document:

Rabito, M.J. & Kaye, A.D. (2013). Complementary and alternative medicine and cardiovascular disease: An evidence-based review. Evidence-Based Complementary and Alternative Medicine, 2013.  https://doi.org/10.1155/2013/672097

Schulman, S.P., Becker, L.C., Kass, D.A., Champion, H.C., Terrin, M.L., Forman, S., Ernst, K.V., Kelemen, M.D., Townsend, S.N., Capriotti, A., Hare, J.M. & Gerstenblith, G. (2006). L-arginine therapy in acute myocardial infarction: The vascular interaction with age in myocardial infarction (VINTAGE MI) randomized clinical trial. JAMA Network, 295(1), 58-64. https://doi.org/10.1001/jama.295.1.58

Shaito, A., Thuan, D.T.B., Phu, H.T., Nguyen, T.H.D., Hasan, H., Halabi, S., Abdelhady, S., Nasralla, Eid, A.H. & Pintus, G. (2020). Herbal medicine for cardiovascular diseases: Efficacy, mechanism, and safety. Frontiers in Pharmacology, 11.  https://doi.org/10.3389/fphar.2020.00422

Tassell, M. C., Kingston, R., Gilroy, D., Lehane, M., & Furey, A. (2010). Hawthorn (Crataegus spp.) in the treatment of cardiovascular disease. Pharmacognosy Reviews, 4(7), 32–41. https://doi.org/10.4103/0973-7847.65324

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