Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial

Abstract Introduction Unstable angina pectoris (UAP) is the common type of coronary heart disease with the risk of developing into acute myocardial infarction (AMI). Currently, there are still numerous patients suffering from recurrent angina after revascularization or conventional medication due to...

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Autores principales: Pan-pan Tian, Qing-juan Wu, Jun Li, Heng-wen Chen, Ji Wu, Ya-wen Deng, Zi-cong Xie, Wei Zhao, Yu-qing Tan
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/d00877f3e10542eb8928b7c276416bd5
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spelling oai:doaj.org-article:d00877f3e10542eb8928b7c276416bd52021-11-14T12:31:10ZEfficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial10.1186/s13063-021-05771-y1745-6215https://doaj.org/article/d00877f3e10542eb8928b7c276416bd52021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05771-yhttps://doaj.org/toc/1745-6215Abstract Introduction Unstable angina pectoris (UAP) is the common type of coronary heart disease with the risk of developing into acute myocardial infarction (AMI). Currently, there are still numerous patients suffering from recurrent angina after revascularization or conventional medication due to the microvascular lesions, endothelial dysfunction, chronic inflammation, in-stent restenosis, and other factors. As an important part of China’s medical and health care system, traditional Chinese medicine (TCM) has rich clinical experience in the treatment of UAP. According to the theory of TCM, Yang deficiency and blood stasis syndrome is a common type of UAP. Wen Xin decoction, as a type of Chinese herbal medicine, has been used in the clinic for years and shown great efficacy in the treatment of UAP with Yang deficiency and blood stasis syndrome. This study aims to evaluate the efficacy and safety of Wen Xin granular in patients with UAP. Methods and analysis This is a double-blinded, randomized, placebo-controlled clinical trial. A total of 502 participants will be randomly allocated to the intervention group and the placebo group. Based on conventional medication, the intervention group will be treated with Wen Xin granular and the placebo group will be treated with Wen Xin granular placebo. The primary outcomes are major adverse cardiovascular events (MACE). Assessments will be performed 1 year after the treatment. The secondary outcomes include TCM symptom scale score, Seattle angina questionnaire, and thromboelastography. Assessments will be performed at baseline (before randomization) and 4 and 8 weeks after randomization. Discussion This trial will provide high-quality data on the benefits and risks of Wen Xin granular in patients with UAP. Trial registration ClinicalTrials.gov NCT04661709 . Registered on 30 November 2020Pan-pan TianQing-juan WuJun LiHeng-wen ChenJi WuYa-wen DengZi-cong XieWei ZhaoYu-qing TanBMCarticleCoronary heart diseaseUnstable angina pectorisWen Xin decoctionChinese herb medicineRandomized controlled trialMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Coronary heart disease
Unstable angina pectoris
Wen Xin decoction
Chinese herb medicine
Randomized controlled trial
Medicine (General)
R5-920
spellingShingle Coronary heart disease
Unstable angina pectoris
Wen Xin decoction
Chinese herb medicine
Randomized controlled trial
Medicine (General)
R5-920
Pan-pan Tian
Qing-juan Wu
Jun Li
Heng-wen Chen
Ji Wu
Ya-wen Deng
Zi-cong Xie
Wei Zhao
Yu-qing Tan
Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
description Abstract Introduction Unstable angina pectoris (UAP) is the common type of coronary heart disease with the risk of developing into acute myocardial infarction (AMI). Currently, there are still numerous patients suffering from recurrent angina after revascularization or conventional medication due to the microvascular lesions, endothelial dysfunction, chronic inflammation, in-stent restenosis, and other factors. As an important part of China’s medical and health care system, traditional Chinese medicine (TCM) has rich clinical experience in the treatment of UAP. According to the theory of TCM, Yang deficiency and blood stasis syndrome is a common type of UAP. Wen Xin decoction, as a type of Chinese herbal medicine, has been used in the clinic for years and shown great efficacy in the treatment of UAP with Yang deficiency and blood stasis syndrome. This study aims to evaluate the efficacy and safety of Wen Xin granular in patients with UAP. Methods and analysis This is a double-blinded, randomized, placebo-controlled clinical trial. A total of 502 participants will be randomly allocated to the intervention group and the placebo group. Based on conventional medication, the intervention group will be treated with Wen Xin granular and the placebo group will be treated with Wen Xin granular placebo. The primary outcomes are major adverse cardiovascular events (MACE). Assessments will be performed 1 year after the treatment. The secondary outcomes include TCM symptom scale score, Seattle angina questionnaire, and thromboelastography. Assessments will be performed at baseline (before randomization) and 4 and 8 weeks after randomization. Discussion This trial will provide high-quality data on the benefits and risks of Wen Xin granular in patients with UAP. Trial registration ClinicalTrials.gov NCT04661709 . Registered on 30 November 2020
format article
author Pan-pan Tian
Qing-juan Wu
Jun Li
Heng-wen Chen
Ji Wu
Ya-wen Deng
Zi-cong Xie
Wei Zhao
Yu-qing Tan
author_facet Pan-pan Tian
Qing-juan Wu
Jun Li
Heng-wen Chen
Ji Wu
Ya-wen Deng
Zi-cong Xie
Wei Zhao
Yu-qing Tan
author_sort Pan-pan Tian
title Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
title_short Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
title_full Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
title_fullStr Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
title_full_unstemmed Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
title_sort efficacy and safety of chinese herbal medicine wen xin granules for the treatment of unstable angina pectoris with yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial
publisher BMC
publishDate 2021
url https://doaj.org/article/d00877f3e10542eb8928b7c276416bd5
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