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A summary and evaluation of current evidence for myocardial infarction with Chinese medicine
A summary and evaluation of current evidence for myocardial infarction with Chinese medicine
- 中国结合医学杂志（英文版） 2017年23卷第12期 页码：948-955
- Affiliations：
1. Department of Chinese Medicine, People’s Hospital of the Inner Mongolia Autonomous Region,Hohhot,China
2. Department of Emergency, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China
3. Department of Clinical Pharmacology, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China
4. Department of Encephalopathy Rehabilitation, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China
5. Department of Integrated Traditional Chinese and Western Medicine, Metabolic Diseases Hospital of Tianjin Medical University,Tianjin,China
6. Department of Massage Pain, Dongzhimen Hospital, Beijing University of Chinese Medicine,Beijing,China
7. Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine,Beijing,China
- Author bio：
- Funds：Supported by the National Natural Science Foundation of China (No. 81430098 and 81603495) and the National High Level Talents Special Support Plan of the Organization Department of the Central Committee (No. W02020052)
DOI：10.1007/s11655-017-2824-y
中图分类号：纸质出版日期：2017，
网络出版日期：2017-10-27，
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Wang, Y., Xiao, L., Mu, W. et al. A summary and evaluation of current evidence for myocardial infarction with Chinese medicine., Chin. J. Integr. Med. 23, 948–955 (2017). https://doi.org/10.1007/s11655-017-2824-y
Yue Wang, Lu Xiao, Wei Mu, et al. A summary and evaluation of current evidence for myocardial infarction with Chinese medicine[J]. Chinese Journal of Integrative Medicine, 2017,23(12):948-955.
Wang, Y., Xiao, L., Mu, W. et al. A summary and evaluation of current evidence for myocardial infarction with Chinese medicine., Chin. J. Integr. Med. 23, 948–955 (2017). https://doi.org/10.1007/s11655-017-2824-y DOI：
Yue Wang, Lu Xiao, Wei Mu, et al. A summary and evaluation of current evidence for myocardial infarction with Chinese medicine[J]. Chinese Journal of Integrative Medicine, 2017,23(12):948-955. DOI： 10.1007/s11655-017-2824-y.
摘要
To provide evidence-based recommendations for clinical application and provoke thoughts for future researchers by conducting a comprehensive summary and evaluation of the current evidence profile for the role of Chinese medicine (CM) in treating myocardial infarction (MI). Online databases including PubMed
EMBase
Cochrane Library
Chinese National Knowledge Infrastructure (CNKI)
Chinese Biomedical Medicine (CBM)
VIP Journal Integration Platform
and Wanfang database were systematically searched for literatures on CM in treating MI. After screening
studies were categorized into 5 types
i.e. systematic review (SR)
randomized controlled trial (RCT)
observational study
case report and basic research. General information was abstracted
and the quality levels of these studies and their conclusions were summarized and assessed. A total of 452 studies including 10 SRs
123 RCTs
47 observational studies
28 case reports
and 244 basic researches were selected. Clinical studies centered primarily on herbal decoction and mostly were not rigorously performed. High-quality studies were predominantly on Chinese patent medicines (CPMs) such as Danshen Injection (丹参注射液)
Shenmai Injection (参麦注射液)
Shengmai Injection (生脉注射液) and Qishen Yiqi Dripping Pills (芪参益气滴丸). The most frequently observed pattern of drug combination was decoction plus injection. Results of SRs and clinical studies showed that CM may reduce mortality
decrease risk of complication
reduce myocardial injury
improve cardiac function and inhibit ventricular remodeling. Findings from basic researches also supported the positive role of CM in reducing infarct size and myocardial injury
promoting angiogenesis
preventing ventricular remodeling and improving cardiac function. According to the current evidence body
CM has proven effects in the prevention and treatment of MI. It is also found that the effects of CPMs vary with indications. For instance
Shenmai Injection has been found to be especially effective for reducing the incidence of acute clinical events
while CPMs with qi-nourishing and bloodcirculating properties have been proven to be effective in inhibiting ventricular remodeling. High quality evidence supports the use of CM injection for acute MI and CPM for secondary prevention. Reports on adverse events and other safety outcomes associated with CM for MI are scarce. Sufficient evidence supported the use of CM as an adjuvant to Western medicine for preventing and treating MI. The choice of drug use varies with disease stage and treatment objective. However
the quality of the evidence body remains to be enhanced.
Abstract
To provide evidence-based recommendations for clinical application and provoke thoughts for future researchers by conducting a comprehensive summary and evaluation of the current evidence profile for the role of Chinese medicine (CM) in treating myocardial infarction (MI). Online databases including PubMed
EMBase
Cochrane Library
Chinese National Knowledge Infrastructure (CNKI)
Chinese Biomedical Medicine (CBM)
VIP Journal Integration Platform
and Wanfang database were systematically searched for literatures on CM in treating MI. After screening
studies were categorized into 5 types
i.e. systematic review (SR)
randomized controlled trial (RCT)
observational study
case report and basic research. General information was abstracted
and the quality levels of these studies and their conclusions were summarized and assessed. A total of 452 studies including 10 SRs
123 RCTs
47 observational studies
28 case reports
and 244 basic researches were selected. Clinical studies centered primarily on herbal decoction and mostly were not rigorously performed. High-quality studies were predominantly on Chinese patent medicines (CPMs) such as Danshen Injection (丹参注射液)
Shenmai Injection (参麦注射液)
Shengmai Injection (生脉注射液) and Qishen Yiqi Dripping Pills (芪参益气滴丸). The most frequently observed pattern of drug combination was decoction plus injection. Results of SRs and clinical studies showed that CM may reduce mortality
decrease risk of complication
reduce myocardial injury
improve cardiac function and inhibit ventricular remodeling. Findings from basic researches also supported the positive role of CM in reducing infarct size and myocardial injury
promoting angiogenesis
preventing ventricular remodeling and improving cardiac function. According to the current evidence body
CM has proven effects in the prevention and treatment of MI. It is also found that the effects of CPMs vary with indications. For instance
Shenmai Injection has been found to be especially effective for reducing the incidence of acute clinical events
while CPMs with qi-nourishing and bloodcirculating properties have been proven to be effective in inhibiting ventricular remodeling. High quality evidence supports the use of CM injection for acute MI and CPM for secondary prevention. Reports on adverse events and other safety outcomes associated with CM for MI are scarce. Sufficient evidence supported the use of CM as an adjuvant to Western medicine for preventing and treating MI. The choice of drug use varies with disease stage and treatment objective. However
the quality of the evidence body remains to be enhanced.
关键词
Chinese Medicinemyocardial infarctionclinical evidence
Keywords
Chinese Medicinemyocardial infarctionclinical evidence
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