PMID- 30633164 OWN - NLM STAT- MEDLINE DCOM- 20190118 LR - 20231005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 98 IP - 2 DP - 2019 Jan TI - Qishenyiqi dripping pill improves ventricular remodeling and function in patients with chronic heart failure: A pooled analysis. PG - e13906 LID - 10.1097/MD.0000000000013906 [doi] LID - e13906 AB - BACKGROUND: Qishenyiqi dripping pill for chronic heart failure (CHF) remains controversial due to lack of high-quality trials. Therefore, we conduct this pooled-analysis to evaluate the efficacy and safety of Qishenyiqi in CHF patients. METHODS: We searched for randomized clinical trials for Qishenyiqi dripping pill in treating CHF up to August 2018 through China National Knowledge Infrastructure (CNKI), the PubMed Database, the Wanfang Database, the China Scientific Journal Database (VIP), and the Chinese Biomedicine Literature Service System. RevMan 5.3 was used for pooled analyses. Based on the New York Heart Association (NYHA) classification, the clinical therapeutic effect was collected as the primary endpoint. RESULTS: The efficacy and safety of Qishenyiqi combined with routine treatment significantly increased NYHA functional classification, left ventricular ejection fraction, cardiac index, and 6-minute walking test and decreased brain natriuretic peptide, left ventricular end-diastolic, and end-systolic dimensions with no obvious side effects in comparison with routine therapy alone. CONCLUSIONS: Together these results provide important insights into Qishenyiqi is effective and safe in improving ventricular remodeling and function of CHF patients. PROSPERO REGISTRATION NUMBER: PROSPERO106695. FAU - Chang, Mingzheng AU - Chang M AD - Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Shandong University Qilu Hospital, School of Basic Medical Sciences of Shandong University. AD - Department of Endocrinology & Metabolism, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China. FAU - Cheng, Lei AU - Cheng L AD - Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Shandong University Qilu Hospital, School of Basic Medical Sciences of Shandong University. AD - Department of Endocrinology & Metabolism, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China. FAU - Shen, Yaqian AU - Shen Y AD - Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Shandong University Qilu Hospital, School of Basic Medical Sciences of Shandong University. AD - Department of Endocrinology & Metabolism, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China. FAU - Zhang, Ying AU - Zhang Y AD - Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Shandong University Qilu Hospital, School of Basic Medical Sciences of Shandong University. AD - Department of Endocrinology & Metabolism, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China. FAU - Zhang, Zhongwen AU - Zhang Z AD - Department of Endocrinology & Metabolism, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong, China. FAU - Hao, Panpan AU - Hao P AD - Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Shandong University Qilu Hospital, School of Basic Medical Sciences of Shandong University. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Cardiovascular Agents) RN - 0 (Drugs, Chinese Herbal) RN - 0 (qishen yiqi) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Cardiovascular Agents/adverse effects/*therapeutic use MH - Chronic Disease MH - Drugs, Chinese Herbal/adverse effects/*therapeutic use MH - Heart Failure/*drug therapy/physiopathology MH - Humans MH - Natriuretic Peptide, Brain/metabolism MH - Randomized Controlled Trials as Topic MH - Ventricular Function, Left/*drug effects MH - Ventricular Remodeling/*drug effects PMC - PMC6336621 COIS- The authors declare that they have no competing interests. EDAT- 2019/01/12 06:00 MHDA- 2019/01/19 06:00 PMCR- 2019/01/11 CRDT- 2019/01/12 06:00 PHST- 2019/01/12 06:00 [entrez] PHST- 2019/01/12 06:00 [pubmed] PHST- 2019/01/19 06:00 [medline] PHST- 2019/01/11 00:00 [pmc-release] AID - 00005792-201901110-00015 [pii] AID - MD-D-18-05657 [pii] AID - 10.1097/MD.0000000000013906 [doi] PST - ppublish SO - Medicine (Baltimore). 2019 Jan;98(2):e13906. doi: 10.1097/MD.0000000000013906.