{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:37:32Z","timestamp":1765827452065},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T00:00:00Z","timestamp":1464652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2016,8]]},"abstract":"ABSTRACT<\/jats:title>Background<\/jats:title>Complementary and alternative medicines (CAM<\/jats:styled-content>) are commonly used in patients with cardiovascular disease. Although there is lack of evidence regarding the benefit of CAM<\/jats:styled-content> on cardiovascular morbidity and mortality, health\u2010status benefits could justify CAM<\/jats:styled-content> use.<\/jats:p><\/jats:sec>Hypothesis<\/jats:title>Adoption of mind\u2010body CAM<\/jats:styled-content> after acute myocardial infarction (AMI<\/jats:styled-content>) is associated with improved health status, though other forms of CAM<\/jats:styled-content> are not associated with health\u2010status improvement.<\/jats:p><\/jats:sec>Methods<\/jats:title>Patients with AMI<\/jats:styled-content> from 24 US<\/jats:styled-content> sites were assessed for CAM<\/jats:styled-content> use (categorized as mind\u2010body, biological, and manipulative therapies) prior to and 1 year after AMI<\/jats:styled-content>. Among patients who reported not using CAM<\/jats:styled-content> prior to their AMI<\/jats:styled-content>, association of initiating CAM<\/jats:styled-content> on patients' health status at 1 year after AMI<\/jats:styled-content> was assessed using Angina Frequency and Quality of Life domains from the Seattle Angina Questionnaire and the Short Form\u201012 Physical and Mental Component scales. Multivariable regression helped examine association between use of different CAM<\/jats:styled-content> therapies and health status.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 1884 patients not using CAM<\/jats:styled-content> at the time of their AMI<\/jats:styled-content>, 33% reported initiating \u22651 forms of CAM<\/jats:styled-content> therapy 1 year following AMI<\/jats:styled-content>: 62% adopted mind\u2010body therapies, 42% adopted biological therapies, and 15% began using manipulative therapies. In both unadjusted and adjusted analyses, we found no association between different types of CAM<\/jats:styled-content> use and health\u2010status improvement after AMI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>There was no association between CAM<\/jats:styled-content> use and health\u2010status recovery after AMI<\/jats:styled-content>. Until randomized trials suggest otherwise, these findings underscore the importance of focusing on therapies with proven effectiveness after AMI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22559","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T12:33:08Z","timestamp":1464697988000},"page":"440-445","source":"Crossref","is-referenced-by-count":3,"title":["The Association Between Complementary and Alternative Medicine and Health Status Following Acute Myocardial Infarction"],"prefix":"10.1002","volume":"39","author":[{"given":"Ali","family":"Shafiq","sequence":"first","affiliation":[{"name":"Cardiovascular Outcomes Research Saint Luke's Mid America Heart Institute Kansas City Missouri"},{"name":"Department of Cardiology School of Medicine, University of Missouri\u2010Kansas City Kansas City Missouri"},{"name":"Department of Cardiology Children's Mercy Hospital and Clinics Kansas City 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Cardiology School of Medicine, University of Missouri\u2010Kansas City Kansas City Missouri"},{"name":"Department of Cardiology Children's Mercy Hospital and Clinics Kansas City Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne V.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Cardiovascular Outcomes Research Saint Luke's Mid America Heart Institute Kansas City Missouri"},{"name":"Department of Cardiology School of Medicine, University of Missouri\u2010Kansas City Kansas City Missouri"},{"name":"Department of Cardiology Children's Mercy Hospital and Clinics Kansas City 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