Abstract
BackgroundData on complementary and alternative medicine (CAM) use in patients with cardiovascular disease (CVD) are lacking. We aim to investigate the prevalence of CAM use among patients with CVD attending a tertiary centre for cardiovascular care, their attitudes and beliefs towards CAM, and factors associated with CAM usage.MethodsA cross-sectional, self-administered written survey was conducted on consecutive patients attending outpatient cardiovascular clinics at our tertiary institution over 2 months from June to July 2014. Information gathered included demographic data and various aspects of CAM use.ResultsA total of 768 responses (562 males, mean age 57 ± 13 years, 74 % Chinese, 6 % Malay, 14 % Indian) were included. The prevalence of CAM use in the cohort was 43.4 % (333/768). Biologically-based systems (29.4 %) was the most common type of CAM used. Some patients (19.0 %) used multiple types of CAM simultaneously. External influences (78.1 %) were cited more than internal influences (47.8 %) to affect CAM use. Malay ethnicity (compared to Chinese) was the only significant negative multivariate predictor of CAM use (OR = 0.531 (95 % CI 0.147 to 0.838), p = 0.018). A significantly higher proportion of CAM users compared to non-CAM users were non-compliant to medications (35.6 %, n = 114 vs. 20.5 %, n = 84, p < 0.001) and consults (41.4 %, n = 130 vs. 28.1 %, n = 112, p < 0.001) respectively.ConclusionThe usage of CAM is prevalent amongst our patients with CVD. CAM use was associated with poorer reported compliance to medications and consults. Understanding the factors influencing CAM use amongst CVD patients provides medical professionals with an opportunity to better discuss CAM use and potentially enhance the patient-physician interaction.Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-016-1430-4) contains supplementary material, which is available to authorized users.
Highlights
Data on complementary and alternative medicine (CAM) use in patients with cardiovascular disease (CVD) are lacking
We aim to investigate the prevalence of CAM use among patients with CVD attending a tertiary centre for cardiovascular care, their attitudes and beliefs towards CAM use, as well as factors associated with CAM usage
In Singapore, there is a lack of data on CAM use in CVD patients
Summary
Data on complementary and alternative medicine (CAM) use in patients with cardiovascular disease (CVD) are lacking. Complementary and alternative medicine (CAM) is commonly used for treatment of cardiovascular diseases (CVD) in many countries [1, 2]. Patients were unaware of potential health risks of CAM [15], including drug interactions, side effects and non-compliance to conventional medicine [16]. This is especially important in patients with CVD, who may consume medications with narrow therapeutic index and extensive drug interaction profiles [17].
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