眩暈, 頭痛을 동반한 心臟性 胸痛 환자 1례의 한방치료에 의한 증례보고

Abstract

Chest pain is classified into two major categories of cardiac chest pain and non-cardiac chest pain. Cardiac chest pain is caused by cardiovascular disease, for example, myocardial infarction, angina pectoris, valvular heart disease, cardiac enlargement or hypertrophy, dissecting aortic aneurysm, pericarditis, myocarditis, etc. When the chest pain is not attributed to heart disease, it is termed non-cardiac chest pain. Non-cardiac chest pain is caused by pulmonary, gastrointestinal, musculoskeletal disease, psychiatric factor, etc.In this case, we treated a 54-year old female patient who was diagnosed with dilated cardiomyopathy and suspicious sick sinus syndrome. She complained of chest pain, exertional dyspnea, dizziness and headache. For treatment, we made use of Yugultangami(六鬱湯加味) and Daejohwan(大造丸). Before and after treatment, we measured Heart rate variability(HRV).In result, the clinical symptoms were improved and there was a significant increase in assessment by Heart rate variability(HRV). This result suggests that Yugultangami and Daejowhan have a good effect on cardiac chest pain.