About this trial
A randomized controlled trial was conducted to evaluate the efficacy and safety of Yangxinshi tablets in improving the condition of patients with coronary heart disease complicated by cardiac dysfunction.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
For inpatients diagnosed with coronary heart disease (including acute coronary syndrome and chronic coronary syndrome), it is up to the doctor to decide whether to undergo revascularization and what kind of revascularization to use.
Patients aged between 40 and 80 years (inclusive), regardless of sex;
Patients with NYHA cardiac function classes II-IV;
Patients with NT-proBNP > 125 pg/mL (or BNP>35 pg/mL);
Disqualifiers
Patients with STEMI within 3 days;
Patients at extremely high risk of NSTEMI (hemodynamic instability, cardiogenic shock, new-onset heart failure or aggravated heart failure, severe ventricular arrhythmia)
Patients with acute myocardial infarction complicated with cardiogenic shock, mechanical complications, respiratory failure and other multiple organ failure;
Patients with severe liver dysfunction (transaminase levels more than three times the upper limit of normal), renal insufficiency (eGFR < 30mL/min/1.73m2), acute infectious diseases, and mental disorders;以上翻译结果来自有道神经网络翻译(YNMT)· 通用场景
Trial design
Parallel
Treatments tested in this trial
Yangxinshi tablet
DrugBasic treatment: All patients received a conventional treatment regimen, including outcome-improving drugs (aspirin, P2Y12 receptor inhibitor、β-blockers, statins, ARNI /ACEI/ARB, SGLT2i, and MRA) and symptom-relieving drugs (nitrates, calcium antagonists, and loop diuretic). Trial drug: Yangxinshi tablets, 3 tablets/3 times a day, taken orally
Blank control
DrugBasic treatment: All patients received a conventional treatment regimen, including outcome-improving drugs (aspirin, P2Y12 receptor inhibitor、β-blockers, statins, ARNI /ACEI/ARB, SGLT2i, and MRA) and symptom-relieving drugs (nitrates, calcium antagonists, and loop diuretic). Trial drug: Blank control
Treatment groups
Trial outcomes
Primary outcomes
The composite endpoint was ischemic events or heart failure-related clinical events
All-cause death, ischemia-driven revascularization, stroke, MI, and readmission due to aggravated ACS or heart failure
Secondary outcomes
Ischemic composite endpoint events
Cardiovascular and cerebrovascular death, MI, ischemia-driven revascularization, stroke, and readmission due to ACS
Heart failure-related clinical events
Readmission due to aggravated heart failure or all-cause death
Cardiovascular and cerebrovascular deaths
Occurrence of cardiovascular and cerebrovascular deaths
All-cause death
Occurrence of all-cause death
Other outcomes
Heart rate
Unit: beats /minute
Blood pressure
Systolic and diastolic,unit: mmHg
12-lead Electrocardiogram (ECG)
12-lead ECG consists of Ⅰ、Ⅱ、Ⅲ、aVR、aVL、aVF、V1、V2、V3、V4、V5、V6.ECG consists of P wave, PR interval, QRS complex, ST segment, and T wave.
White blood cell (WBC) count
Normal value: 4-10, unit: 109/L.Check at 24 and 48 weeks to see if it is within the normal range.
Sponsors and contacts
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