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Danshen decoction in the treatment of heart failure: A systematic review and meta-analysis protocol of randomized
Mengnan Liu1,2,3, Raoqiong Wang1,4, Ziyi Li5
1Faculty of Chinese Medicine and State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, Taipa, China.
Insights
This systematic review evaluates Danshen decoction for heart failure (HF), assessing its efficacy and impact on cardiac function (CF). Findings will support its clinical use in HF treatment.
Area of Science:
- Cardiovascular Medicine
- Integrative and Complementary Medicine
- Pharmacology
Background:
- Heart failure (HF) represents a critical endpoint for cardiovascular diseases (CVDs).
- Existing HF therapies require enhancement for improved clinical efficacy and reduced adverse effects.
- Danshen decoction is explored as a potential therapeutic agent for HF.
Purpose of the Study:
- To systematically evaluate the efficacy and safety of Danshen decoction in treating HF.
- To assess the impact of Danshen decoction on improving cardiac function (CF).
Main Methods:
- A comprehensive literature search across four databases will be conducted.
- Eligible studies will be identified without restrictions on language, publication date, or status.
- Meta-analysis will be performed on studies with comparable outcome measures, using fixed-effect or random-effect models based on heterogeneity.
Main Results:
- The primary outcome is the clinical effective rate (CER) of HF treatment.
- Secondary outcomes include improvements in cardiac function (CF), serum inflammatory factors, and adverse events.
- Results will be submitted for publication in a peer-reviewed journal.
Conclusions:
- This systematic evaluation aims to provide robust evidence for the clinical application of Danshen decoction in HF management.
- The findings will inform healthcare professionals on the potential benefits and risks associated with this therapy.
Background:
Heart failure (HF) is considered the clinical endpoint of all cardiovascular diseases (CVDs). Although a large number of HF drugs and therapies have been developed, it is still need to find therapies with better clinical efficacy and fewer side effects. The purpose of this systematic evaluation is to assess the efficacy and safety of Danshen decoction on HF and the improvement of cardiac function (CF).
Methods:
Four databases will be searched to identify any eligible studies, and this protocol does not require ethics committee review as the research is based on published articles. There are no restrictions set for the language, publication date, or status of the study. The clinical effective rate (CER) of HF treatment is considered to be the main result. CF, various serum inflammatory factors, and adverse events were defined as secondary outcomes. When more than 1 article is used to study the changes and results of the same index, we will conduct a meta-analysis. If the heterogeneity is not statistically significant (P > .10 or I2 < 50%), a fixed-effect model will be established to estimate the overall intervention effect. Otherwise, random effect models will be used to provide more conservative results.
Results:
The results of this meta-analysis will be submitted to a peer-reviewed journal for publication.
Conclusion:
This study will provide reliable evidence-based basis for the clinical application of Danshen decoction in the treatment of HF.
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