Mahdavi-Roshan Marjan, Nasrollahzadeh Javad, Mohammad Zadeh Ali, Zahedmehr Ali
Department of Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, IR Iran.
Radiology Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
Iran Red Crescent Med J. 2016 Aug 24;18(11):e23871. doi: 10.5812/ircmj.23871. eCollection 2016 Nov.
Hypertension is one of the major risk factors for cardiovascular morbidities, including coronary artery disease (CAD).
With interest on the important role of hypertension in the progression of CAD, this study was designed to estimate the effect of garlic powder tablets on the blood pressure (BP) in patients with severe CAD.
A randomized, placebo-controlled, clinical trial was conducted on 56 CAD patients, aged 25 - 75 years old. The patients were randomly divided into two groups: Galois groups (n = 27), receiving garlic powder tablet (400 mg garlic) twice daily and the placebo groups (n = 29), receiving placebo for 3 months. The BP was assessed at baseline and at the end of the study.
During the 3 months study, in the placebo group, systolic BP (SBP) increased with 6.3 mmHg and diastolic BP (DBP) increased with 4.6 mmHg, changes which were significant. After the 3 months, the effect of garlic on SBP, after adjusting for baseline value, was significant, and this effect was more significant in hypertensive patients. Plasma lipids and lipoproteins did not change significantly in either the garlic or placebo groups, during the study. Tolerability, compliance and acceptability were high in all patients.
These results demonstrate that treatment with garlic-based drugs can be an effective treatment for controlling BP in CAD patients and has no interaction with other drugs that CAD patients take. Therefore, it may be considered as a safe adjunct treatment for this group of patients.
高血压是心血管疾病(包括冠状动脉疾病,CAD)的主要危险因素之一。
鉴于高血压在CAD进展中的重要作用,本研究旨在评估大蒜粉片对重度CAD患者血压(BP)的影响。
对56名年龄在25至75岁之间的CAD患者进行了一项随机、安慰剂对照的临床试验。患者被随机分为两组:大蒜组(n = 27),每天服用两次大蒜粉片(400毫克大蒜);安慰剂组(n = 29),服用安慰剂,为期3个月。在基线和研究结束时评估血压。
在3个月的研究期间,安慰剂组的收缩压(SBP)升高了6.3 mmHg,舒张压(DBP)升高了4.6 mmHg,这些变化具有显著性。3个月后,调整基线值后,大蒜对SBP的影响具有显著性,且在高血压患者中这种影响更为显著。在研究期间,大蒜组和安慰剂组的血脂和脂蛋白均无显著变化。所有患者的耐受性、依从性和可接受性都很高。
这些结果表明,使用基于大蒜的药物治疗可以有效控制CAD患者的血压,并且与CAD患者服用的其他药物无相互作用。因此,它可被视为该组患者的一种安全辅助治疗方法。