Comparative efficacy of five traditional Chinese medicine injections for treating heart failure with reduced and mildly reduced ejection fraction: Bayesian network meta-analysis

Zheng, Yu; Zheng, Huizhen; Guo, Zhihua

doi:10.1016/j.heliyon.2023.e23194

Cited by 1 publication

(1 citation statement)

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“…Pharmacological studies have shown that Safflower extract in DHI can reduce the incidence of arrhythmias by altering calcium overload of myocardial cells (Yu et al, 2022). The incidence of heart failure was Z = 3.60 (p = 0.0003), verifying that DHI can reduce cardiac load and improve myocardial tissue remodeling (Zheng et al, 2024). The incidence of adverse reactions was Z = 2.45 (p = 0.01), and the possible adverse reactions were related to the speed of DHI intravenous infusion and the patient's allergy history (Gu X.L., 2022).…”

Section: Discussionmentioning

confidence: 90%

Efficacy and safety of Danhong injection for treating myocardial infarction: a systematic review and meta-analysis of randomized controlled trials

Yang,

Wang,

Shen

et al. 2024

Front. Pharmacol.

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ObjectiveDanhong injection (DHI) is widely used in the treatment of myocardial infarction (MI). We aimed to systematically review the efficacy and safety of DHI in a randomized controlled experiment on MI.MethodsWe searched the randomized controlled trials (RCTs) of DHI for MI published before 2 April 2023 in China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wanfang database, China Science and Technology Journal Database (VIP), PubMed, Web of Science, Cochrance Library, and Embase databases. The methodological quality of the included studies was evaluated using the Cochrane Handbook 5.3 criteria using the RevMan software, and meta-analysis was performed and a forest map was drawn.ResultsA total of 38 trials included 3877 patients, including 2022 cases in the DHI treatment group and 1855 cases in the control group. Meta-analysis showed that the total effective rate (RR = 1.18%, 95% CI [1.14–1.12]) during treatment with DHI was higher than that of the control group. The prevalence of cardiac arrhythmia (RR = 0.55%, 95% CI [0.46–0.65]) was lower than that of the control group. The incidence of heart rate failure (RR = 0.45%, 95% CI [0.30–0.70]) was lower than that of the control group. The prevalence of cardiogenic shock (RR = 0.33%, 95% CI [0.11–1.04]) was p > 0.05, and the difference was not statistically significant. There was no statistically significant difference in LVEF between the two groups (MD = 0.00%, 95% CI [0.00–0.00]). CK-MB (MD = −0.81%, 95% CI [−0.92∼ −0.69]) was lower than the control group. hs-CRP (MD = −1.09, 95% CI [−1.22∼ −0.97]) was lower than the control group. The incidence of adverse reactions (RR = 0.37, The 95% CI [0.17–0.82]) was lower than that in the control group.ConclusionBasing on our study, the use of DHI in the treatment of myocardial infarction patients is effective, can improve cardiac function, reduce the incidence of adverse reactions, and improve the overall quality of life.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023390973.

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Section: Discussionmentioning

confidence: 90%