Natural treatments for cardiomyopathy

  • PRINCIPAL PROPOSED NATURAL TREATMENTS: None
  • OTHER PROPOSED NATURAL TREATMENTS: Carnitine, coenzyme Q10

DEFINITION: Treatment of the diseased muscle tissue of the heart.

Introduction

Cardiomyopathy is a little-understood condition in which the muscle tissue of the heart becomes diseased. Several distinct forms of cardiomyopathy may be inherited or develop due to some diseases, like amyloidosis or hemochromatosis. The primary forms include arrhythmogenic (irregular heartbeats or rhythms), hypertrophic (thickening heart muscle), dilated (one or more pumping chambers become enlarged), and restrictive (stiffening or scarring of the muscle). Medical treatment consists mainly of medications that attempt to compensate for the increasing failure of the heart to function properly. A heart transplant may ultimately be necessary.

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Proposed Natural Treatments

Coenzyme Q10. Preliminary evidence suggests that the naturally occurring substance coenzyme Q10 (CoQ10) might offer benefits in some forms of cardiomyopathy. In a six-year trial, 143 people with moderately severe cardiomyopathy were given CoQ10 daily in addition to standard medical care. The results showed a significant improvement in cardiac function (technically, ejection fraction) in 84 percent of the study participants. Most of them improved by several stages on a scale that measures the severity of heart failure (technically, as classified by the New York Heart Association). Furthermore, a comparison with persons on conventional therapy alone appeared to show a reduction in mortality.

This study was an open trial, meaning that participants knew that they were being treated, and such studies are not fully reliable. There have been a few double-blind, placebo-controlled trials of CoQ10 in cardiomyopathy, too. One such trial followed eighty people with various forms of cardiomyopathy for three years. Of those treated with CoQ10, 89 percent improved significantly, but when the treatment was stopped, their heart function deteriorated. No benefit was seen in another double-blind study, but it was a smaller and shorter trial and enrolled only people who had one particular type of cardiomyopathyidiopathic dilated cardiomyopathy. Subsequent studies found similar results.

Other supplements. A small amount of evidence indicates that the vitamin-like supplement carnitine may be useful in cardiomyopathy. Additionally, vitamin K2, flaxseed, magnesium, fiber, garlic, red yeast rice, and resveratrol have also been named as potential natural remedies, but none are backed with scientific certainty.

A review of research concerning the potential benefits of multivitamins, multi-minerals, antioxidants, folic acid, vitamin E, niacin (B3), and beta-carotene in improving heart health failed to find benefits in using these products. The only supplement recommended by some experts is omega-3 or fish oil capsules. If a person is deficient in omega-3s, their heart will likely benefit from supplementation, but food sources of nutrients like omega-3s are the best route to improving wellness. Similarly, if a person is deficient in any nutrient, altering diet or adding supplementation will likely improve overall health. Still, these supplements simply fill a nutritional gap, not treating an illness.

Herbs and Supplements to Use Only with Caution

Various herbs and supplements may interact adversely with drugs used to treat cardiomyopathy, so one should be cautious when considering the use of herbs and supplements.

Bibliography

"Alternative Therapies for Heart Failure May Offer Benefits, but Some Have Risks." American Heart Association News, 8 Dec. 2022, www.heart.org/en/news/2022/12/08/alternative-therapies-for-heart-failure-may-offer-benefits-but-some-have-risks. Accessed 1 Oct. 2024.

Al Saadi, Tareq, et al. “Coenzyme Q10 for Heart Failure.” The Cochrane Database of Systematic Reviews, vol. 2, no. 2, 2021, p. CD008684. doi:10.1002/14651858.CD008684.pub3.

Chow, Sheryl L. "Complementary and Alternative Medicines in the Management of Heart Failure: A Scientific Statement From the American Heart Association." American Heart Association, vol. 147, no. 2, Jan. 2021. doi:10.1161/CIR.0000000000001110.

Griffin, Morgan. "Supplements for Heart Health." WebMD, 22 Sept. 2023, www.webmd.com/vitamins-and-supplements/supplements-heart-healthy. Accessed 1 Oct. 2024.

Nodari, S., et al. “The Role of N-3 PUFAs in Preventing the Arrhythmic Risk in Patients with Idiopathic Dilated Cardiomyopathy.” Cardiovascular Drugs and Therapy, vol. 23, 2008, pp. 5-15.

Sunkara, Anusha, and Albert Raizner. “Supplemental Vitamins and Minerals for Cardiovascular Disease Prevention and Treatment.” Methodist DeBakey Cardiovascular Journal, vol. 15, no. 3, 2019, pp. 179-84. doi:10.14797/mdcj-15-3-179.

"The Truth About 4 Popular Heart Health Supplements." Johns Hopkins University, www.hopkinsmedicine.org/health/wellness-and-prevention/the-truth-about-4-popular-heart-health-supplements. Accessed 1 Oct. 2024.