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The effect of acupressure on pain level and hemodynamic parameters after coronary angiography: a randomized

Barış Düzel1, Tuğba Çam Yanik2, Canan Kanat2

  • 1Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye.

Frontiers in Cardiovascular Medicine
|July 31, 2023
PubMed

Insights

Acupressure effectively reduced post-coronary angiography pain. While it improved diastolic blood pressure and respiratory rate, it did not significantly impact other hemodynamic parameters. Further research is recommended.

Area of Science:

  • Cardiology
  • Pain Management
  • Integrative Medicine

Background:

  • Coronary angiography can lead to patient pain, often managed with interventions to prevent bleeding.
  • Assessing pain and hemodynamic changes after angiography is crucial for patient care.

Purpose of the Study:

  • To investigate the impact of acupressure on pain levels and hemodynamic parameters in patients undergoing coronary angiography.

Main Methods:

  • A prospective, randomized controlled trial included 124 patients undergoing coronary angiography.
  • The intervention group received acupressure on specific points (LI4, PC6, LI11) for 15 minutes, 2 hours post-procedure.
  • Pain (VAS) and hemodynamic parameters (SBP, DBP, HR, RR, SpO2) were monitored before and after acupressure.

Main Results:

  • Patients experienced moderate pain post-angiography.
  • Acupressure significantly reduced Visual Analog Scale (VAS) pain scores compared to the control group immediately after and up to 30 minutes post-intervention.
  • Acupressure significantly increased diastolic blood pressure (DBP) and respiratory rate (RR) at 20 and 30 minutes, but did not affect SBP, HR, or SpO2.

Conclusions:

  • Acupressure is effective in alleviating pain following coronary angiography.
  • Acupressure demonstrated a significant effect on DBP and RR, but not other measured hemodynamic parameters.
  • Further studies with longer follow-up are recommended due to the single-centered nature and short duration of this trial.
Abstract

Keywords:
acupressureangiographycoronaryhemodynamic parameterspain

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