![]() ![]() ![]() 7 However, receipt of care by a cardiologist was associated with significantly higher use of both over-the-counter medications and herbal therapies. 7 No significant differences in CAM use were observed for other demographics. 7 In this study, White patients were more likely to use nonprescriptive over-the-counter medications, including vitamins, compared with other races and ethnicities, but not herbal therapies. One study included older patients with HF from 8 medical centers in Ohio. There are limited data on CAM use among US patients with HF. 5, 6 Although these trends are noteworthy, the most important finding may be that patients do not share their ongoing CAM use with their health care professionals approximately half of the time. 5 College graduates have also been more likely to use CAM than those with less education. In the United States, CAM use has been higher among White than Black individuals, 5, 6 and higher among patients who perceived their health care quality as poor compared with those with higher health care quality. CAM use may also be influenced by traditions and beliefs. In certain countries, social networks are a major supporting factor for CAM and may be incorporated under physicians’ recommendations. Although certain populations may support CAM for affordability and accessibility, others may support CAM to exert greater control over individual health as part of holistic care. 4 CAM has been supported in parts of the world for perceived benefits and safety profiles and for dissatisfaction with conventional medications, particularly in the Americas. 4 A 2020 systematic review of 231 studies representing 51 countries and 6 continents demonstrated continental similarities and differences in reasons for using CAM. The estimated international prevalence varies considerably, ranging from 10% to 76%. Global Utilization and Social Determinants of HealthĬAM is broadly used across the world. This scientific statement included representatives from the American Heart Association Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing‚ Council on Epidemiology and Prevention, and was developed through the American Heart Association Clinical Pharmacology Committee in collaboration with the Heart Failure and Transplantation Committee. The writing group was composed of cardiologists, scientists, pharmacists, and a nurse practitioner with expertise and knowledge in clinical practice and research of CAM in the setting of acute and chronic HF, and federal regulation of nutraceuticals. This scientific statement includes 2 primary areas of focus: (1) review of evidence for efficacy of CAM therapy in patients with HF, and (2) review of safety of CAM therapy in patients with HF including CAM interactions with HF treatment and adverse effects of CAM therapy on HF progression. ![]() A comprehensive literature search was performed using the Natural Medicines Database, PubMed,, and Cochrane Library to retrieve and review data from primary literature, review articles, consensus documents, and abstracts of landmark studies published before November 2021. This scientific statement is intended for patients, the general public, all health care professionals directly or indirectly managing patients with HF, and those who use alternative therapeutic approaches and nontraditional medicine in practice. Furthermore, patients who purchase over-the-counter CAM products often receive prescription medications, concomitant use of which could lead to serious drug interactions when taken together.īecause public consumers have unregulated access to CAM, educating the public and clinicians about these products remains a priority. 1–3 Misconceptions regarding their purported efficacy have largely driven the popularity of these products, whereas adverse effects have been underemphasized and underreported. It is estimated that >30% of patients with heart failure (HF) use CAM, and 1 of 5 patients have used herbal therapy annually. 1 There is a lack of federal guidance and regulation of CAM products sold in the United States, and these agents are readily accessible to consumers with increasing popularity. Complementary therapy is a nonmainstream approach used in combination with conventional medicine, whereas an alternative approach replaces conventional therapy altogether. ![]() Approaches to implementing these unconventional strategies may differ. Customer Service and Ordering InformationĬomplementary and alternative medicine (CAM) has been traditionally used to define medical practices, products, or systems that do not conform to the standard beliefs of conventional medicine.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA).Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB). ![]()
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