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February 19, 2019Biomedicine & PharmacotherapyOpen Access

The effect of Xinkeshu tablets on depression and anxiety symptoms in patients with coronary artery disease: Results from a double-blind, randomized, placebo-controlled study

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Key result

Xinkeshu tablets significantly reduced anxiety and depression scores (HADS-a/HADS-d and PHQ-9) compared to placebo in CAD patients following percutaneous revascularization (P < 0.05).

Why the study?

Depression and anxiety symptoms affect a large proportion of patients with CAD and are linked to increased mortality, but the therapeutic efficacy of Xinkeshu tablets and their relation to plasma cytokines remained unclear.

Do Xinkeshu tablets improve depression and anxiety symptoms in patients with coronary artery disease following percutaneous revascularization?

Comparison

Xinkeshu tablets vs placebo

Design

Double-blind, randomized, placebo-controlled trial

Follow-up

12 weeks

Authors

HMHuan MaGuangdong Academy of Medical SciencesYWYu WangChinese Academy of Medical Sciences & Peking Union Medical CollegeYXYunlian XueGuangdong Academy of Medical Sciences

Discussion

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Implication

Xinkeshu reduced anxiety and depressive symptoms in CAD patients; supports adjunctive use and extends cytokine association data for larger trials.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Randomization

randomized

Structured PICO

Do Xinkeshu tablets improve depression and anxiety symptoms in patients with coronary artery disease following percutaneous revascularization?

P
Population
60 patients with coronary artery disease and a HADS score ≥8 following percutaneous revascularization, treated for 12 weeks.
I
Intervention
Xinkeshu tablets for 12 weeks
C
Comparator
Placebo for 12 weeks
O
Outcome
Depressive/anxiety symptoms (HADS-a/HADS-d and PHQ-9 scores) and levels of 440 peripheral blood cytokines at 12 weekspatient reported

Main Result

p-value: p=< 0.05

Xinkeshu tablets significantly reduced anxiety and depression scores in CAD patients post-revascularization, potentially mediated by changes in inflammatory cytokines.

Cite This Study

Ma et al. (2019) conducted an RCT in Coronary artery disease with depression or anxiety symptoms (n=60). Xinkeshu tablets vs. Placebo was evaluated on Depressive/anxiety symptoms (HADS-a/HADS-d and PHQ-9 scores) (p=< 0.05). Xinkeshu tablets significantly reduced anxiety and depression scores (HADS-a/HADS-d and PHQ-9) compared to placebo in CAD patients following percutaneous revascularization (P < 0.05).

synapsesocial.com/papers/6a99475108ab6325d2e1324bhttps://doi.org/10.1016/j.biopha.2019.108639

Topics

Coronary artery disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment2016 · 110 citations
  2. 2Use of the Hospital Anxiety and Depression Scale (HADS) in a Cardiac Emergency Room – Chest Pain Unit2009 · 60 citations
  3. 3Heart Disease and Stroke Statistics—2016 Update2015 · 6,661 citations
  4. 4Prospective Examination of Anxiety Persistence and Its Relationship to Cardiac Symptoms and Recurrent Cardiac Events2004 · 188 citations
  5. 5The Hospital Anxiety And Depression Scale.2003 · 2,293 citations