title: Danhong injection in the treatment of acute coronary syndrome: a systematic review and meta-analysis.
abstract: To systematically evaluate the efficacy and safety of Danhong injection (DH) in treating acute coronary syndrome (ACS), randomized controlled trials (RCTs) regarding ACS treated by DH were searched in Chinese and English electronic databases from inception until June 2013. Two reviewers independently retrieved RCTs and extracted information. The Cochrane risk of bias method was used to assess the quality of the included studies, and a meta-analysis was conducted with Review Manager 5.2 software. About 26 RCTs with 2660 participants were included. The methodological quality was usually not high, and only one study used a randomized, double-blinded method. The meta-analysis indicated that on the basis of conventional therapy with Western medicine (WM), DH was more effective in increasing the total effective rate [RR = 1.24, 95%CI (1.17, 1.32), p < 0.00001]. Additionally, DH can decrease inflammatory cytokines, including high sensitive C-reactive protein (Hs-CRP) and interleukin-6 (IL-6), lower plasma viscosity, plasma endothelin-1 (ET-1) and brain natriuretic peptide (BNP), reduce the generation of myeloperoxidase (MPO), and decrease the number of T-wave inversion. There were no adverse drug reactions (ADR) reported in the experimental group, while one case occurred in the control group. Based on the systematic review, DH combined with WM was effective in the treatment of ACS. However, the safety of DH in the treatment of ACS should be further carefully interpreted by more large-scale and double-blind RCTs.
authors: Department of Clinical Pharmacology of Traditional Chinese Medicine, School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 100102, P. R. China.
authors: Jia-Rui
authors: JR
authors: Wu
authors: Xiao-Meng
authors: XM
authors: Zhang
authors: Bing
authors: B
authors: Zhang
mesh_terms: D054058:Acute Coronary Syndrome / Q000188:drug therapy*; D001809:Blood Viscosity / Q000187:drug effects; D002097:C-Reactive Protein / Q000378:metabolism; D016206:Databases, Bibliographic; D004311:Double-Blind Method; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage* / Q000494:pharmacology; D019332:Endothelin-1 / Q000378:metabolism; D006801:Humans; D018836:Inflammation Mediators / Q000378:metabolism; D007267:Injections; D015850:Interleukin-6 / Q000378:metabolism; D020097:Natriuretic Peptide, Brain / Q000378:metabolism; D009195:Peroxidase / Q000378:metabolism; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome
chemical_list: D004365:Drugs, Chinese Herbal; D019332:Endothelin-1; D018836:Inflammation Mediators; D015850:Interleukin-6; C540581:danhong; D020097:Natriuretic Peptide, Brain; D002097:C-Reactive Protein; D009195:Peroxidase
keywords: Acute Coronary Syndrome; Danhong Injection; Meta-Analysis; Systemic Review