Review ArticlesAcupuncture and Cardiovascular Disease Focus on Heart FailureNi, Yu-Ming MD*; Frishman, William H. MD†Author Information From the *Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA and †New York Medical College/Westchester Medical Center, Valhalla, NY. Disclosure: The authors declare no conflicts in the preparation of this article. Correspondence: William H. Frishman, MD, Department of Medicine, New York Medical College, 40 Sunshine Cottage Road, Valhalla, NY 10595. E-mail: William_Frishman@nymc.edu. Cardiology in Review: March/April 2018 - Volume 26 - Issue 2 - p 93-98 doi: 10.1097/CRD.0000000000000179 Buy Metrics Abstract Symptomatic heart failure is managed with interdisciplinary approaches to reduce acute exacerbations and to improve mortality. Acupuncture is a standardized treatment of Traditional Chinese Medicine that has been shown to have beneficial effects on the cardiovascular system via a neurohumoral pathway known as the long-loop pathway. This article serves to examine recent evidence supporting the long-loop pathway as the physiologic mechanism of acupuncture and the sympatholytic, vasodilatory, and cardioprotective effects of acupuncture that could specifically improve cardiac function and quality of life measures in the management of congestive heart failure. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.