Efficacy and safety of oral Panax notoginseng saponins for unstable angina patients: A meta-analysis and systematic review

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#angina-pectoris #angina-unstable #drugs-chinese-herbal #electrocardiography #humans

Efficacy and safety of oral Panax notoginseng saponins for unstable angina patients: A meta-analysis and systematic review

Duan et al., 2018 | Phytomedicine | Meta Analysis

Citation

Duan Lian, Xiong Xingjiang, ... Wang Jie. Efficacy and safety of oral Panax notoginseng saponins for unstable angina patients: A meta-analysis and systematic review. Phytomedicine. 2018-Aug-01;47:23-33. doi:10.1016/j.phymed.2018.04.044

Abstract

BACKGROUND: Panax notoginseng saponins (PNS) is one of the most important active ingredients in Panax notoginseng, which plays an important role against cardiovascular diseases in Traditional Chinese Medicine (TCM). METHODS: This review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. We searched the following databases from their inception to February 2017: CENTRAL, MEDLINE, EMBASE Database, WHO ICTRP, CNKI, WANFANG, VIP and SinoMed. All the randomized controlled trials (RCTs) based on PNS in patients with unstable angina (UA) which meet the standard were included. RESULT: Seventeen studies were included in this systemic review. The included studies indicated that PNS has promising therapeutic effects on reduction of the primary end point [RR 0.05 (95% CI -0.07, -0.02); P < 0.001], electrocardiography (ECG) [RR 0.32 (95% CI 0.23, 0.46); P < 0.001], the frequency and duration of angina attacks [MD -1.88 (95% CI -2.03, -1.72); P < 0.001], and dosage of nitroglycerin [MD -1.13 (95% CI -1.70, -0.56); P < 0.001] of UA patients. Adverse events were described 9 included RCTs. CONCLUSION: Oral PNS could reduce the end point, and improve the ECG, the frequency and duration of angina pectoris, dosage of nitroglycerin and lipids in UA patients. And the results indicated oral PNS is safe up to now. However, we need more multi-centre, large-sample, high-quality RCTs to provide high-quality evidence.

Key Findings

Oral PNS could reduce the end point, and improve the ECG, the frequency and duration of angina pectoris, dosage of nitroglycerin and lipids in UA patients. And the results indicated oral PNS is safe up to now. However, we need more multi-centre, large-sample, high-quality RCTs to provide high-quality evidence.

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population unstable angina
Sample Size See abstract
Age Range See abstract
Condition See abstract

MeSH Terms

  • Angina Pectoris
  • Angina, Unstable
  • Drugs, Chinese Herbal
  • Electrocardiography
  • Humans
  • Medicine, Chinese Traditional
  • Panax notoginseng
  • Randomized Controlled Trials as Topic
  • Saponins

Evidence Classification

  • Level: Meta Analysis
  • Publication Types: Journal Article, Meta-Analysis, Systematic Review
  • Vertical: ginseng

Provenance

Source extracted via PubMed E-utilities API on 2026-04-09