Saikokaryukotsuboreito Could be Effective Even if Shakanzoto is Ineffective for Paroxysmal Atrial Fibrillation with Strong Palpitation after Cardiac Surgery
- VernacularTitle:開心術後の強い動悸症状を伴う発作性心房細動に対して炙甘草湯が無効で柴胡加竜骨牡蠣湯が有効であった1症例
- Author:
Koji KAWAGO
1
;
Yukiyo YOSHIDA
1
;
Satoru SHIRAIWA
1
;
Yoshihiro HONDA
1
;
Kenji SAKAKIBARA
1
;
Shigeaki KAGA
1
;
Hiroyuki NAKAJIMA
1
Author Information
- Keywords: paroxysmal atrial fibrillation; palpitation; saikokaryukotsuboreito; shakanzoto
- From:Kampo Medicine 2021;72(1):27-33
- CountryJapan
- Language:Japanese
- Abstract: Paroxysmal atrial fibrillation (pAf) is an arrhythmia that often occurs in the elderly. The quality of life often declines due to severe palpitations caused by pAf. We present a case of recurrent pAf that occurred on postoperative day 2 of coronary artery bypass grafting and pulmonary vein isolation for unstable angina pectoris and pAf. The patient was a 62-year-old man who complained of palpitations, which was consistent with pAf on the monitor ECG. During hospitalization, the patient was constantly wearing an ECG monitor. During pAf, the heart rate was around 120 bpm, and pAf could continue for up to and beyond 24 hours. Paroxysmal atrial fibrillation with strong palpitations was observed every day, even after starting beta-blockers and anticoagulants. After discharge, a Japanese Kampo medicine called shakanzoto was taken for a month, but there was no improvement. After that, it was changed to another Japanese Kampo medicine called saikokaryukotsuboreito, because abdominal examination revealed kyokyokuman (hypochondriac discomfort and distension (resistance)) and saiboki (brisk pulsation in the para-umbilical region). Palpitations quickly improved dramatically. It was speculated that not only palpitations but also pAf had been improved.
