The effects of the wenyang huoxue method on coronary heart disease heart failure: A protocol for systematic review

Wenbo Han1, Yong Zhao1, Yahong Wang1

  • 1Dongzhimen Hospital, Affiliated Hospital of Beijing University of Chinese Medcine.

Medicine
|April 4, 2020
PubMed

Insights

This review evaluates the Wenyang Huoxue method for coronary heart disease (CHD) with heart failure (HF). It aims to determine if this treatment effectively improves cardiac function and safety in patients.

Area of Science:

  • Cardiology
  • Traditional Chinese Medicine

Background:

  • Coronary heart disease (CHD) is a leading cause of heart failure (HF).
  • The Wenyang Huoxue method shows potential for improving cardiac function in CHD patients with HF.
  • Systematic evaluation of its efficacy and safety is lacking.

Purpose of the Study:

  • To systematically evaluate the efficacy and safety of the Wenyang Huoxue method for treating CHD complicated with HF.
  • To provide evidence-based support for the clinical application of this traditional Chinese medicine method.

Main Methods:

  • Comprehensive literature search across multiple databases (CNKI, Wanfang, CBM, CSTJ, PubMed, EMBASE, Cochrane Library) from January 2000 to September 2019.
  • Inclusion of randomized controlled trials, clinical trial registrations, grey literature, conference abstracts, and reference lists.
  • Meta-analysis using RevMan 5.3.5, employing fixed or random effects models based on heterogeneity testing. Primary outcome: total effective rate in cardiac function. Secondary outcomes: 6-minute walk test, left ventricular ejection fraction, and plasma brain natriuretic peptide.

Main Results:

  • This systematic review and meta-analysis will provide a high-quality, comprehensive evaluation of the Wenyang Huoxue method's efficacy and safety.
  • The findings will synthesize current evidence on the treatment's impact on cardiac function and related clinical indicators.

Conclusions:

  • This systematic review will determine the evidence supporting the Wenyang Huoxue method as an effective intervention for patients with CHD complicated by HF.
  • The study aims to clarify the role of this traditional Chinese medicine approach in managing CHD-induced heart failure.
Abstract

Related Concept Videos

Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
161
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
816
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
594
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.6K
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
677
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
609