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Cardiovascular Activity of Ginkgo biloba-An Insight from Healthy Subjects
Henrique Silva1,2,3, Filipe Gazalho Martins2
1Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisbon, Portugal.
Ginkgo biloba extracts show cardiovascular benefits by improving blood flow and hemodynamics. While clinical results vary, its mechanisms suggest potential for cardiovascular health, with a good safety profile.
Area of Science:
- Pharmacology and Herbal Medicine
- Cardiovascular Physiology
Background:
- Ginkgo biloba, an ancient tree species, is widely used for cardiovascular disease prevention and treatment.
- Existing clinical data on its efficacy is limited, particularly in healthy subjects.
Purpose of the Study:
- To comprehensively review the mechanisms behind Ginkgo biloba's beneficial cardiovascular activities.
- To explore its impact on myocardial function, vasodilation, and organ perfusion.
Main Methods:
- Review of existing literature on Ginkgo biloba's cardiovascular effects.
- Analysis of ex vivo studies demonstrating myocardial suppressant and vasorelaxant activities.
- Examination of its influence on endothelial-dependent and -independent pathways.
Main Results:
- Ginkgo biloba exhibits myocardial suppressant and vasorelaxant properties.
- It enhances endothelial-dependent and -independent pathways, improving perfusion in various vascular beds (ocular, cochlear, cerebral, coronary).
- Effects on tissue perfusion can be heterogeneous, influenced by individual elimination pathways.
Conclusions:
- Ginkgo biloba positively influences cardiovascular physiology, improving hemodynamics and organ perfusion.
- The herb possesses an acceptable safety profile with rare adverse reactions.
- Further controlled clinical studies are needed to define optimal target populations for Ginkgo biloba interventions.
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