Evidence map›Paper›PMID 30572460›Full record

SynthesisMedicine2018

Therapeutic efficacy and safety of Shexiang Baoxin Pill combined with trimetazidine in elderly patients with heart failure secondary to ischaemic cardiomyopathy: A systematic review and meta-analysis.

Jianxia Wen, Xiao Ma, Lu Zhang, Xiaohua Lu, Yuxue Yang, Jian Wang, Yanling Zhao

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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  9. Review
  10. Review
  11. Trimetazidine in Heart Failure.Frontiers in pharmacology · 2020
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jianxia WenCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu.
Xiao MaCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu.
Lu ZhangCollege of Pharmacy, Zhejiang University of Chinese Medicine, Zhejiang, Hangzhou, China.
Xiaohua LuCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu.
Yuxue YangCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu.
Jian WangCollege of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu.
Yanling ZhaoDepartment of Pharmacy, 302 Military Hospital of People's Liberation Army, Beijing.
302 Military Hospital of China · CNChengdu University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShexiang Baoxin Pill (SBP) is one of the most commonly used traditional Chinese patent medicines for cardiovascular diseases. This systematic review was designed to provide rigorous therapeutic efficacy and safety evidence on the use of SBP combined with trimetazidine in elderly patients with heart failure (HF) secondary to ischaemic cardiomyopathy (ICM).

methodsRelevant randomized controlled trials (RCTs) investigating the clinical efficacy of SBP combined with trimetazidine in treating ICM-associated HF were widely searched in electronic databases, including PubMed, Cochrane library, EMBASE, CBM, CNKI, VMIS, and Wanfang up to January 1, 2018. The methodological quality of each trial was assessed according to the Cochrane Reviewers' Handbook 5.0. Meta-analysis was performed by using Review Manager 5.3.

resultsEighteen RCTs (N = 1532) that met the criteria were included in the review for the assessment of methodological quality. Meta-analysis showed that, when compared with conventional therapy, SBP combined with trimetazidine significantly improved the clinical efficacy and indices of cardiac function (including increasing left ventricular ejection fraction [LVEF] and 6-minute walk distance [6-MWD], decreasing left ventricular end-diastolic diameter [LVEDD] and left ventricular end-systolic diameter [LVESD]) without serious adverse reactions.

conclusionThis work provides evidence of the benefit of SBP combined with trimetazidine for the treatment of HF secondary to ICM. More high quality and well-designed RCTs are needed to confirm these findings.

Indexed as

Cardiovascular AgentsDrugs, Chinese HerbalDrug Therapy, CombinationHeart FailureHumansMyocardial IschemiaRandomized Controlled Trials as TopicTrimetazidineCardiovascular AgentsDrugs, Chinese Herbalshexiang baoxinTrimetazidine

Identifiers

PMID30572460
PMCPMC6320128
OpenAlexW2906270031

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.