Study of Osteopathic Manipulation in the Management of Angina

Study of Osteopathic Manipulation in the Management of Angina

The purpose of this study is to assess the effectiveness of osteopathic manipulation in decreasing angina pectoris symptoms.

Inclusion Criteria:

• Canadian Cardiovascular Society Class II, III for a minimum of 6 months
• documented coronary artery disease via previous myocardial infarction, abnormal stress test, or abnormal coronary angiogram of greater than or equal to 50% luminal obstruction of at least one epicardial vessel.

Exclusion Criteria:

• severe left ventricular dysfunction
• symptomatic heart failure
• symptomatic aortic stenosis or any valvular disease
• significant pulmonary disease
• unstable angina
• major surgery or angioplasty in the past three months
• acute myocardial infarction within past three months
• insulin dependent diabetes mellitus
• uncontrolled hypertension
• acute renal or hepatic failure
• currently being treated with osteopathic manipulation