AI Article Synopsis

  • The study aimed to assess the effectiveness and safety of combining Sodium tanshinone ⅡA sulfonate (STS) with standard treatment for patients experiencing acute myocardial infarction (AMI).
  • A meta-analysis of 16 trials with 1383 participants revealed that the STS combo improved outcomes like mortality, heart failure, and heart function measures compared to traditional treatment alone.
  • However, the safety of STS remains unclear due to limited data, and the overall quality of the studies was low, indicating a need for more rigorous research in the future.

Article Abstract

Objective: To investigate the efficacy and safety of Sodium tanshinone ⅡA sulfonate (STS) plus the conventional treatment on acute myocardial infarction (AMI) patients.

Methods: We searched several electrical databases and hand searched several Chinese medical journals up to January 2019. Randomized controlled trials (RCTs) comparing STS plus conventional treatment with conventional treatment were retrieved. Study screening, data extraction, quality assessment, and data analysis were conducted in accordance with the Cochrane standards.

Results: Sixteen trials involving 1383 people were included. The Meta-analysis showed STS combined with conventional treatment was a better treatment option than conventional treatment alone in reducing the risk of mortality, heart failure, arrhythmia and shock. In addition, STS was associated with improvement in left ventricular ejection fraction (LVEF) and left ventricular end diastolic dimension (LVEDD). No significant difference of STS was found on recurrent angina and recurrent AMI. However, the safety of STS remained uncertain for limite data.

Conclusion: Compared with conventional treatment alone, STS combined with conventional treatment may provide more benefits for patients with AMI. Due to the fact that the overall quality of all included trials is generally low, further large-scale high quality trials are warranted.

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Source
http://dx.doi.org/10.19852/j.cnki.jtcm.2021.01.004DOI Listing

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