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丹彤尼治疗慢性稳定性心绞痛作用机制的综述。

A review of the mechanism of action of Dantonic for the treatment of chronic stable angina.

机构信息

Pharmacology & Toxicology Research Centre, The State Key Laboratory of Core Technology in Innovative Chinese Medicine, Tasly Academy, Tasly Holding Group Co., Ltd, Tianjin 300410, China.

Pharmacology & Toxicology Research Centre, The State Key Laboratory of Core Technology in Innovative Chinese Medicine, Tasly Academy, Tasly Holding Group Co., Ltd, Tianjin 300410, China.

出版信息

Biomed Pharmacother. 2019 Jan;109:690-700. doi: 10.1016/j.biopha.2018.10.013. Epub 2018 Nov 5.

Abstract

Chronic stable angina (CSA) presents as a complication of coronary heart disease, leading to a high incidence and mortality rate worldwide. Dantonic or Compound Danshen Dripping Pills (CDDP) is a well-known traditional Chinese medicine used for the treatment of myocardial ischemic diseases, such as angina pectoris (AP), myocardial infarction, and sudden death. Dantonic has been extensively utilized in clinical practice in China for more than 14 years and has proved to be an effective therapy for the treatment of many myocardial ischemic diseases since its approval by CFDA in 1994. Clinical studies in China have shown that Dantonic is an effective and safe drug for the treatment of angina pectoris manifested with ameliorating anginal symptoms and showing few adverse effects. Nevertheless, the mechanism of Dantonic for the treatment of angina has been underestimated. Therefore, in this review, we mainly focus on discussing the pharmacological mechanism of action (MoA) of Dantonic for the treatment of CSA, including the promotion of coronary microcirculation, the optimization of myocardial energy metabolism, and the inhibition of platelet aggregation.

摘要

慢性稳定性心绞痛(CSA)是冠心病的并发症,导致全球发病率和死亡率都很高。丹参滴丸(CDDP)是一种著名的中药,用于治疗心肌缺血性疾病,如心绞痛、心肌梗死和猝死。丹参滴丸在中国已广泛应用于临床 14 年以上,自 1994 年 CFDA 批准以来,已被证明是治疗多种心肌缺血性疾病的有效疗法。中国的临床研究表明,丹参滴丸对心绞痛的治疗有效且安全,能改善心绞痛症状,且不良反应少。然而,丹参滴丸治疗心绞痛的机制一直被低估。因此,在这篇综述中,我们主要集中讨论丹参滴丸治疗 CSA 的药理学作用机制(MoA),包括促进冠脉微循环、优化心肌能量代谢和抑制血小板聚集。

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