[Effect of shengmai injection on hemodynamics in patients with dilated cardiomyopathy]

Ya-chen Zhang1, Rui-ming Chen, Mei-hua Zhao

  • 1Department of Cardiovascular Diseases, Xinhua Hospital Affiliated to Shanghai Second Medical University, Shanghai 200092.

Insights

Shengmai Injection (SMI) significantly improved heart function and hemodynamics in patients with dilated cardiomyopathy (DCM). Combining SMI with conventional treatment enhanced therapeutic effects for heart failure in DCM patients.

Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Dilated cardiomyopathy (DCM) is a significant cause of heart failure.
  • Hemodynamic dysfunction is a hallmark of DCM, leading to poor prognosis.

Purpose of the Study:

  • To evaluate the hemodynamic effects of Shengmai Injection (SMI) in DCM patients.
  • To assess the clinical efficacy of SMI in treating DCM with co-existing heart failure.

Main Methods:

  • A randomized controlled trial involving 100 DCM patients.
  • Patients were divided into a control group (conventional treatment) and a treated group (conventional treatment + SMI).
  • Hemodynamic parameters and heart function indexes were measured before and after treatment.

Main Results:

  • The treated group showed a significantly higher total effective rate (84%) compared to the control group (60%).
  • SMI administration led to significant improvements in cardiac output, stroke volume (SV), cardiac index, ejection fraction (EF), and left ventricular remodeling indices.
  • Systemic vascular resistance (SVR) significantly decreased in the SMI-treated group.

Conclusions:

  • Shengmai Injection demonstrates a marked ability to improve cardiac function in DCM patients.
  • Combination therapy with SMI enhances the effectiveness of conventional treatments for DCM-related heart failure.
Abstract