Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial
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Original Article|Updated:2021-08-16
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Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial
Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial
Chinese Journal of Integrative Medicine2021年27卷第1期 页码:16-23
Affiliations:
1.Key Discipline of Integrated Traditional Chinese and Western Medicine, Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou (510405), China
2.Department of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou (510120), China
3.Doctoral Candidate of Guanzhou University of Chinese Medicine, Guangzhou (510006), China
Author bio:
Correspondence to: Prof. ZHANG Min-zhou, E-mail:minzhouzhang@aliyun.com
Funds:
the National Natural Science Foundation of China;the Natural Science Foundation of Guandong Province;CHEN Ke-ji Academic Thought Inheritance Studio
Yuan-shen ZHOU, Shuai MAO, Li-heng GUO, 等. Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(1):16-23.
Yuan-shen ZHOU, Shuai MAO, Li-heng GUO, et al. Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(1):16-23.
Yuan-shen ZHOU, Shuai MAO, Li-heng GUO, 等. Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(1):16-23. DOI: 10.1007/s11655-020-2722-6.
Yuan-shen ZHOU, Shuai MAO, Li-heng GUO, et al. Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(1):16-23. DOI: 10.1007/s11655-020-2722-6.
Effect of Tongguan Capsules (通冠胶囊) on Restenosis after Coronary Stent Implantation: Study Protocol for A Randomized Controlled Trial
摘要
Abstract
Background:
2
Although percutaneous coronary intervention (PCI) had become widely employed therapeutic procedure for coronary artery disease
stent restenosis limited the benefits of this revascularization and the question how to prevent such events remained unresolved. While numerous empirical observations suggested Tongguan Capsules (通冠胶囊)
a patented Chinese Medicine
could decrease frequency and duration of angina pectoris attacks
evidence supporting its efficacy on restenosis remained inadequate.
Objective:
2
This trial was designed to determine whether Tongguan Capsules would reduce restenosis rate in patients after successful stent implantation.
Methods:
2
Approximately 400 patients undergoing percutaneous coronary stent deployment were enrolled and randomized to control group or Tongguan Capsules (4.5 g/d) for 3 months. All patients received standard anti-platelet
anti-coagulation and lipid-decreasing treatments
concurrently. The primary clinical endpoint was the 12-month incidence of the major adverse cardiovascular events (defined as cardiac death
myocardial infarction
and recurrence of symptoms requiring additional revascularization). The angiographic end point was restenosis rate at 6 months.
Conclusion:
2
This study would provide important evidence for the use of Tongguan Capsules in patients after stent implantation in combination with routine therapies
which may significantly reduce incidence of the restenosis so as to potentially improve the clinical outcomes. (registration number: ChiCTR-TRC- ChiCTR-IIR-17011407)
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Department of Cardiology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University
Department of Cardiology, Fuwai Hospital
Department of Cardiovascular Disease, Huashan Hospital, Fudan University
Department of Biostatistics, School of Public Health, Fudan University
Medical Department, Shanghai Green Valley Pharmaceutical Co., Ltd.