The Effects of Wenxin Keli on P-Wave Dispersion and Maintenance of Sinus Rhythm in Patients with Paroxysmal Atrial Fibrillation : A Meta-Analysis of Randomized Controlled Trials

Objective. To evaluate the beneficial and adverse effects of Wenxin Keli (WXKL), alone or combined with Western medicine, on P-wave dispersion (Pd) and maintenance of sinus rhythm for the treatment of paroxysmal atrial fibrillation (PAF). Methods. Seven major electronic databases were searched to re...

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Published in:Evidence-based complementary and alternative medicine 2013-01, Vol.2013 (2013), p.1-9
Main Authors: Chen, Wen, Zhang, Zhenpeng, Yong-Hong, Gao, Wang, Jie, Yan-Wei, Xing, Shang, Hongcai, Chen, Yu, Xing, Yanhui, Teng, Fei, Liu, Xiaoqiu, Nie, Shaoping, Gao, Hai, Sun, Tao
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Chinese medicine
Clinical trials
Complications
Coronary vessels
Electrocardiography
Evidence-based medicine
Fibrillation
Heart
Integrative medicine
Meta-analysis
Patients
Randomization
Review
Sinuses
Surgery
Systematic review
Wave dispersion
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Summary:Objective. To evaluate the beneficial and adverse effects of Wenxin Keli (WXKL), alone or combined with Western medicine, on P-wave dispersion (Pd) and maintenance of sinus rhythm for the treatment of paroxysmal atrial fibrillation (PAF). Methods. Seven major electronic databases were searched to retrieve randomized controlled trials (RCTs) designed to evaluate the clinical effectiveness of WXKL, alone or combined with Western medicine, for PAF, with Pd or maintenance rate of sinus rhythm as the main outcome measure. The methodological quality of the included studies was assessed using criteria from the Cochrane Handbook for Systematic Review of Interventions, version 5.1.0, and analysed using RevMan 5.1.0 software. Results. Fourteen RCTs of WXKL were included. The methodological quality of the trials was generally evaluated as low. The results of meta-analysis showed that WXKL, alone or combined with Western medicine, was more effective in Pd and the maintenance of sinus rhythm, compared with no medicine or Western medicine alone, in patients with PAF or PAF complicated by other diseases. Seven of the trials reported adverse events, indicating that the safety of WXKL is still uncertain. Conclusions. WXKL, alone or combined with Western medicine, appears to be more effective in improving Pd as well as maintenance of sinus rhythm in patients with PAF and its complications.
ISSN:1741-427X
1741-4288
DOI:10.1155/2013/245958