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The effects of Traditional Chinese Medicine on cardiac function after percutaneous coronary intervention: a
Mengchen Wang1, Shuai Fan1, Libo Xia2
1College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, Jilin, China.
Objective:
This systematic review aimed to synthesize and summarize current evidence regarding the effects of Traditional Chinese Medicine (TCM) on cardiac function in patients with coronary heart disease (CHD) following percutaneous coronary intervention (PCI).
Methods:
A comprehensive search was conducted in PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, the Chinese Biomedical Literature Database (CBM), and the Chinese Scientific and Technological Journal Database (VIP). Relevant conference papers were also manually screened. Studies evaluating the clinical efficacy of TCM combined with conventional Western medicine for CHD after PCI were selected based on predefined inclusion and exclusion criteria. The methodological quality of the included studies was assessed using the RoB 2. Data extraction was performed independently, and Stata software was used for meta-analysis.
Results:
12 studies involving a total of 6,383 patients were included. Compared with conventional Western medicine alone, integrated TCM and Western therapy significantly reduced the incidence of in-stent restenosis (ISR) and non-fatal myocardial infarction after PCI (p < 0.05). However, no significant differences were observed in cardiac mortality or the incidence of coronary artery bypass grafting (CABG) between the two treatment approaches (p > 0.05).
Conclusion:
The combination of TCM with conventional Western therapy may reduce ISR and non-fatal myocardial infarction in CHD patients after PCI compared with Western medicine alone, suggesting potential benefits for improving post-PCI clinical outcomes.
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