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- Title
Add-On Effect of Chinese Herbal Medicine on Mortality in Myocardial Infarction: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
- Authors
Vincent C. H. Chung; Mao Chen; Qin Ying; Wilson W. S. Tam; Xin Yin Wu; Polly H. X. Ma; Eric T. C Ziea; Vivian C. W. Wong; Jin Ling Tang
- Abstract
In China, Chinese herbal medicine (CHM) is widely used as an adjunct to biomedicine (BM) in treating myocardial infarction (MI). This meta-analysis of RCTs evaluated the efficacy of combined CHM-BM in the treatment of MI, compared to BM alone. Sixty-five RCTs (12,022 patients) of moderate quality were identified. 6,036 patients were given CHM plus BM, and 5,986 patients used BM only. Combined results showed clear additional effect of CHM-BM treatment in reducing all-cause mortality (relative risk reduction (RRR) = 37%, 95% CI = 28%-45%, I2 = 0.0%) and mortality of cardiac origin (RRR = 39%, 95% CI = 22%-52%, I2 = 22.8). Benefits remained after random-effect trim and fill adjustment for publication bias (adjusted RRR for all-cause mortality = 29%, 95% CI = l6%-40%; adjusted RRR for cardiac death = 32%, 95% CI = l5%-46%). CHM is also found to be efficacious in lowering the risk of fatal and nonfatal cardiogenic shock, cardiac arrhythmia, myocardial reinfarction, heart failure, angina, and occurrence of total heart events. In conclusion, addition of CHM is very likely to be able to improve survival of MI patients who are already receiving BM. Further confirmatory evaluation via large blinded randomized trials is warranted.
- Subjects
MYOCARDIAL infarction-related mortality; COMBINATION drug therapy; CINAHL database; CONFIDENCE intervals; EPIDEMIOLOGY; MEDICAL information storage &; retrieval systems; CHINESE medicine; MEDLINE; META-analysis; PATIENT safety; RESEARCH funding; SYSTEMATIC reviews; DATA analysis; RANDOMIZED controlled trials; RELATIVE medical risk; DATA analysis software
- Publication
Evidence-based Complementary & Alternative Medicine (eCAM), 2013, Vol 2013, p1
- ISSN
1741-427X
- Publication type
Article
- DOI
10.1155/2013/675906