Key result
Baoxin'an capsules combined with trimetazidine tablets significantly increased the overall effective rate to 90.48% compared to 73.81% with trimetazidine alone in patients with type 2 diabetes and chronic heart failure.
Why the study?
The study was conducted to evaluate the therapeutic effects of Baoxin'an capsules combined with trimetazidine tablets in patients with type 2 diabetes and chronic heart failure.
Does the addition of Baoxin'an capsules to trimetazidine and standard therapy improve clinical efficacy and cardiac function in patients with type 2 diabetes complicated with chronic heart failure?
RCT (n=168)
Randomly divided
No
Does the addition of Baoxin'an capsules to trimetazidine and standard therapy improve clinical efficacy and cardiac function in patients with type 2 diabetes complicated with chronic heart failure?
The addition of Baoxin'an capsules to trimetazidine and standard therapy significantly improved clinical symptoms, cardiac function, and inflammatory markers in patients with type 2 diabetes and chronic heart failure.
Answers are grounded in this paper and cite their sources.
Supports adding Baoxin'an to trimetazidine in type 2 diabetes with heart failure; extends evidence for adjunctive metabolic therapy.
To evaluate the therapeutic effects of Baoxin’an capsules combined with trimetazidine tablets on type 2 diabetes with chronic heart failure. A total of 168 patients with type 2 diabetes complicated with chronic heart failure treated in our hospital from January 2016 to December 2017 were selected. They were randomly divided into two groups (n=84), both receiving diet control. On the basis of routine medication, the control group was given trimetazidine tablets. The observation group was administered with Baoxin’an capsules plus trimetazidine tablets. 30 d were employed as a course of treatment and the entire duration was 6 mo. The clinical symptoms, cardiac function classifications and the changes of plasma N-terminal pro–Btype natriuretic peptide and high-sensitivity C-reactive protein levels before and after treatment were compared. The overall effective rate of the observation group was 90.48 % which was significantly higher than that of the control group (73.81 %) (χ2=7.954, p=0.005). The increases in blood flow peak velocity ratio of left ventricular diastolic late phase to early phase, left ventricular ejection fraction, cardiac output and stroke volume of the observation group were significantly higher than those of the control group (p<0.05). After treatment, fasting plasma glucose, plasma pro–B-type natriuretic peptide and serum high-sensitivity C-reactive protein levels were significantly decreased (p<0.01). The above indices of the observation group were all significantly lower than those of the control group (p<0.05). After treatment, there were no obvious abnormal changes in routine blood, routine urine or liver and kidney function tests. Baoxin’an capsules in combination with trimetazidine tablets can inhibit non-specific inflammatory reaction of type 2 diabetes with chronic heart failure, alleviate myocardial damage and ventricular remodeling, improve cardiac function and enhance clinical therapeutic effects.
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DU et al. (2020) conducted an RCT in Type 2 diabetes complicated with chronic heart failure (n=168). Baoxin'an capsules plus trimetazidine tablets vs. Trimetazidine tablets 20 mg 3 times/day was evaluated on Overall effective rate (p=0.005). Baoxin'an capsules combined with trimetazidine tablets significantly increased the overall effective rate to 90.48% compared to 73.81% with trimetazidine alone in patients with type 2 diabetes and chronic heart failure.
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