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Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Integrative Medicine

Background:

  • Ischemic cerebrovascular disease poses a significant risk for recurrent stroke and transient ischemic attack (TIA).
  • Secondary stroke prevention strategies are crucial for managing patients with a history of ischemic events.
  • Herbal preparations are increasingly explored for their therapeutic potential in cardiovascular health.

Purpose of the Study:

  • To evaluate the efficacy of Danshen dripping pill (DDP) in secondary prevention of stroke and TIA.
  • To assess the impact of DDP on cerebrovascular event recurrence, mortality, and hematological parameters.
  • To investigate the potential anti-inflammatory mechanisms of DDP in patients with ischemic cerebrovascular disease.

Main Methods:

  • A prospective study involving 106 patients with recent ischemic stroke or TIA.
  • Patients were divided into two groups: one receiving DDP (Salvia miltiorrhiza, Panax notoginseng, Dryobalanops camphor) and a control group.
  • Outcomes including recurrent stroke/TIA, mortality, adverse events, and blood markers were monitored over a 1-year follow-up.

Main Results:

  • DDP group showed a significantly lower rate of recurrent stroke/TIA (9.6%) compared to the control group (24.1%) (p<0.05).
  • No significant differences in mortality or intracranial hemorrhage were observed between the groups.
  • Blood C-reactive protein levels decreased significantly in the DDP group, suggesting an anti-inflammatory effect.

Conclusions:

  • Danshen dripping pill (DDP) demonstrates potential in reducing the risk of recurrent stroke and TIA in patients with ischemic cerebrovascular disease.
  • The anti-inflammatory properties of DDP may contribute to its efficacy in secondary stroke prevention.
  • Further research is warranted to elucidate the precise mechanisms and long-term benefits of DDP in cerebrovascular disease management.