심방세동 환자에서 한약치료를 통한 증상 조절 효과 : 증례보고

Abstract

Background: Atrial fibrillation (AF) is an arrhythmia associated with symptoms such as dizziness, palpitations, and fatigue. While conventional treatments-such as beta-blockers, antiarrhythmic drugs, and anticoagulants-are standard, adverse effects and limited symptom control may lead patients to seek complementary therapies. Traditional Korean medicine may offer symptomatic relief for AF-related discomfort. Case Report: A 61-year-old female patient with a history of AF presented with dizziness, palpitations, dyspnea, and fatigue. She had previously required medication adjustm ent due to QT prolongation and was under psychiatric care for depression and insomnia. Despite stable follow-up, her symptoms recurred, prompting her admission to a Korean medicine hospital. She received a complex herbal decoction combined with acupuncture, electroacupuncture, and moxibustion. Over a two-week hospitalization, the patient report ed gradual symptom improvement. A follow-up EC G showed rhythm changes suggestive of stabilization, though insufficient to confirm AF resolution. Conclusion: This case suggests that traditional Korean medicine, including multiherb formulations and acupuncture, may contribute to symptom relief in patients with AF. While a single ECG suggests rhythm normalization, the focus remains on clinical improvement of subjective symptoms. Further studies are needed to evaluate the efficacy and mechanisms of these integrative approaches.