PMID- 15339608 OWN - NLM STAT- MEDLINE DCOM- 20120402 LR - 20190922 IS - 1672-1977 (Print) IS - 1672-1977 (Linking) VI - 1 IP - 1 DP - 2003 May TI - [Clinical observation of the curative effect of Qiangxin Mixture on congestive heart failure]. PG - 25-9 AB - OBJECTIVE: To investigate the efficacy of Qiangxin Mixture in patients with congestive heart failure (CHF). METHODS: Sixty cases of CHF were randomly divided into Qiangxin Mixture group (treatment group, n=30) and digoxin group (control group, n=30). The total clinical effective rate, integra of the symptoms of kidney deficiency, classification of functional capacity of the New York Heart Association (NYHA), and echocardiogram [ejection fraction (EF), cardiac output (CO), interventricular septal thickness (IVST), posterior wall thickness (PWT), left ventricular mass index (LVMI)] as well as the measurement of plasma endothelin, angiotensin II and atrial natriuretic peptide were observed in both groups. RESULTS: The total clinical effective rate of Qiangxin Mixture group was 87%, and improvement was significantly observed in the Lee CHF score, classification of functional capacity of the NYHA, EF and CO (P<0.05, vs before treatment), but no significant improvement in digoxin group (P>0.05). The integra of the symptoms of kidney deficiency, the levels of plasma ET, Ang II and ANP decreased significantly (P<0.01, vs before treatment and digoxin group respectively). IVST, PWT and LVMI were also reduced significantly (P<0.01, vs before treatment; P<0.05 vs digoxin group). CONCLUSION: The Qiangxin Mixture is effective in enhancing cardiac contraction, improving hemodynamics in the short-term and rectifying some indexes in the long-term, so it could postpone the processes of CHF. This mechanism may be related to decreasing the stimulating factors (angiotensin, endothelin) which trigger the cardiac remodeling, delaying or reversing the cardiac remodeling. FAU - Chen, Zhao-Shan AU - Chen ZS AD - Department of Cardiovasology, Shanghai Hospital of Traditional Chinese Medicine, Shanghai 200071, China. czshan@citiz.net FAU - Dong, Yao-Rong AU - Dong YR FAU - Hu, Wan-Ying AU - Hu WY LA - chi PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial PL - China TA - Zhong Xi Yi Jie He Xue Bao JT - Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine JID - 101199657 RN - 0 (Drug Combinations) RN - 0 (Drugs, Chinese Herbal) RN - 0 (qiangxin) SB - IM MH - Aged MH - Drug Combinations MH - Drugs, Chinese Herbal/*therapeutic use MH - Female MH - Heart Failure/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - *Phytotherapy MH - Prognosis EDAT- 2004/09/02 05:00 MHDA- 2012/04/03 06:00 CRDT- 2004/09/02 05:00 PHST- 2004/09/02 05:00 [pubmed] PHST- 2012/04/03 06:00 [medline] PHST- 2004/09/02 05:00 [entrez] AID - 128 [pii] AID - 10.3736/jcim20030111 [doi] PST - ppublish SO - Zhong Xi Yi Jie He Xue Bao. 2003 May;1(1):25-9. doi: 10.3736/jcim20030111.