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Effect and Safety of Guanxinning Tablet (冠心宁片) for Stable Angina Pectoris Patients with Xin (Heart)-Blood Stagnation Syndrome: A Randomized, Multicenter, Placebo-Controlled Trial

  • Ming-yue Sun
  • Yang Miao
  • Min Jin
  • Yao-rong Dong
  • Shu-rong Liu
  • Mu-lan Wang
  • Rui GaoEmail author
Clinical Experience

Abstract

Objective

To investigate the effect and safety of Guanxinning Tablet (冠心宁片, GXN) for the treatment of stable angina pectoris patients with Xin (Heart)-blood stagnation syndrome (XBSS).

Methods

One hundred and sixty stable angina pectoris patients with XBSS were randomly assigned to receive GXN (80 cases) or placebo (80 cases, Guanxinning simulation tablets, mainly composed of lactose), 4 tablets (0.38 g/tablet), thrice daily for 12 weeks. After treatment, an exercise stress test (treadmill protocol), Chinese medicine (CM) syndrome score, electrocardiogram (ECG), and nitroglycerin withdrawal rate were evaluated and compared in the patients between the two groups. Meanwhile, adverse events (AEs) were evaluated during the whole clinical trial.

Results

Compared with the control group, the time extension of exercise duration in the GXN group increased 29.28 ±17.67 s after treatment (P>0.05); moreover, the change of exercise duration in the GXN group increased 63.10 ±96.96 s in subgroup analysis (P<0.05). The effective rates of angina pectoris, CM syndrome and ECG as well as nitroglycerin withdrawal rate were 81.33%, 90.67%, 45.76%, and 70.73%, respectively in the GXN group, which were all significantly higher than those in the control group (40.58%, 75.36%, 26.92%, 28.21%, respectively, P<0.05).

Conclusion

GXN was a safe and effective treatment for stable angina pectoris patients with XBSS at a dose of 4 tablets, thrice daily.

Keywords

Guanxinning Tablet coronary heart disease stable angina pectoris Xin (Heart)-blood stagnation syndrome Chinese medicine 

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Notes

Acknowledgement

The authors would like to thank the staff at the Xiyuan Hospital of China Academy of Chinese Medical Sciences, Jilin Integrated Chinese and Western Hospital, Affiliated Hospital of Changchun University of Chinese Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Affiliated Hospital of Inner Mongolia University for the Nationalities and Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, for their invaluable help in conducting this study.

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Copyright information

© The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Ming-yue Sun
    • 1
  • Yang Miao
    • 2
  • Min Jin
    • 3
  • Yao-rong Dong
    • 4
  • Shu-rong Liu
    • 5
  • Mu-lan Wang
    • 3
  • Rui Gao
    • 1
    Email author
  1. 1.Good Clinical Practice Center, Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijingChina
  2. 2.Department of Cardiology, Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijingChina
  3. 3.Chiatai Qingchunbao Pharmaceutical Co., Ltd.HangzhouChina
  4. 4.Department of CardiologyShanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese MedicineShanghaiChina
  5. 5.Department of CardiologyThe First Clinical Hospital of Jilin Academy of Chinese Medical SciencesChangchunChina

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