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Home > "A" Clinical Trials Conditions > Acupuncture in Cardiovascular Disease Acupuncture in Cardiovascular Disease
Acupuncture in Cardiovascular Disease
For Condition: Congestive Heart Failure
Status: Recruiting
Sponsor(s): National Center for Complementary and Alternative Medicine (NCCAM) ,
Synopsis: The purpose of this study is to determine if acupuncture decreases adrenaline levels in heart failure, thereby potentially improving survival and quality of life.
Details: Acupuncture is used to lower blood pressure in patients with hypertension, and to relieve angina in patients with coronary artery disease. While the biological mechanisms of acupuncture analgesia have been studied intensely in animals and humans, the biological mechanisms for modulation of the cardiovascular system in humans remain largely unexplored. Acupuncture at traditional acupoints, and at nonacupoints, decreases the blood pressure response during mental stress in normal humans. This depressor effect cannot be fully explained by a decline in muscle sympathetic nerve activity (MSNA). Further, in humans with heart failure (HF) in whom MSNA is elevated, we have preliminary data that acupuncture significantly decreases the MSNA response during mental stress. The following hypotheses will be tested: 1) acupuncture, performed at traditional acupoints and non-acupoints in normal humans, stimulates skeletal muscle afferent neurons causing a release of endogenous opioids, which oppose sympathetic excitation and vasoconstriction in visceral vascular beds, such as the kidney; 2) in humans with HF in whom MSNA is elevated and renal vasoconstriction is the rule, acupuncture utilizes similar mechanisms as in normal humans to produce exaggerated inhibition of MSNA and reflex renal vasoconstriction. Positron emission tomography and microneurography will be utilized to answer the following questions in normal humans and patients with heart failure: 1. Is acupuncture attenuation of BP during mental stress mediated by a decrease in renal vasoconstriction? 2. Is acupuncture sympathoinhibitory? 3. Is acupuncture modulation of the autonomic nervous system mediated by muscle afferents? 4. Is acupuncture modulation of the autonomic nervous system mediated by activation of endogenous opioids? Understanding the mechanisms of acupuncture modulation of the autonomic nervous system in humans may help clarify its role as a therapeutic modality in cardiovascular diseases, such as heart failure.
Eligibility:
Study Type: Interventional, Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 21 Years/65 Years
Genders: Both
Protocol Entry Criteria: - Chronic congestive heart failure class II-III - No unstable angina - No myocardial infarction within 3 months - No peripheral neuropathy
Total Enrollment: 200
Location and Contact Information:
Overall Study Official:
HollyMiddlekauff, Principal Investigator, University of California, Los Angeles
UCLA School of Medicine *Recruiting*
Los Angeles, California, 90095-1679
United States
Recruiting
Additional Information:
Study ID Numbers: 1 R21 AT00671-01;
Study Start Date: July 2001
Record last reviewed: May 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00032422
Other Congestive Heart Failure Studies:
1. Oxypurinol compared with Placebo for Class III-IV NYHA Congestive Heart Failure
2. Acupuncture in Cardiovascular Disease
3. African-American Heart Failure Trial
4. Rosiglitazone to Treat Patients with Heart Failure and Glucose Intolerance or Type II Diabetes
5. MYOHEARTâ„¢ (Myogenesis Heart Efficiency and Regeneration Trial)
Related Studies:
Other Congestive Heart Failure Clinical Trials
Other California Clinical Trials
Other Los Angeles Clinical Trials
Acupuncture in Cardiovascular Disease
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