Effect of Tongxinluo Capsule on Patients with Syndrome X and Affective Disorder
- 1 Kunshan First People’s Hospital, Kunshan, China
- 2 Kunshan First People’s Hospital, Kunshan, China
- 3 Kunshan First People’s Hospital, Kunshan, China
- 4 Kunshan First People’s Hospital, Kunshan, China
Abstract
Background: To explore the therapeutic effect of Tongxinluo capsule (Tongxinluo) on patients with Syndrome X and Affective Disorder. Methods: Fifty-six patients with Syndrome X and Affective Disorder were randomly divided into a Tongxinluo capsule group and a placebo control group. The duration of treatment was 12 weeks. A 6-minute walking test, exercise load electrocardiogram and clinical symptom assessment were performed before and after treatment. After 12 weeks of treatment, the scores of the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were repeated. The levels of serum endothelin-1 (ET-1) and nitric oxide (NO) were measured before and after treatment. Results: Compared with the placebo control group, the Tongxinluo group SAS and SDS scores were lower than those before treatment (all P < 0.01), and the 6-minute walking distance increased significantly ( P < 0.01). Clinical symptoms were significantly improved. The exercise test results suggested that, while improved, there was no significant difference ( P > 0.05) when compared to before treatment. In the Tongxinluo treatment group, the levels of plasma endothelin-1 decreased significantly ( P < 0.01) and nitric oxide levels were significantly increased ( P < 0.01), with a significant difference when compared to the control group ( P < 0.01). Conclusions: The Tongxinluo capsule can improve the Affective Disorder of Syndrome X, reduce the degree of anxiety and depression, increase exercise tolerance, reduce clinical symptoms, and improve vascular endothelial function.
- Hu, G.L. and Bai, X.P. (2013) Progress in the Study of Coronary Microcirculation Disorder. Chinese Journal of Microcirculation, 23, 60-65.
- Hu, G.L., Bai, X.P. and Hou, X.L. (2014) Clinical Efficacy of Danhong Injection on Cardiac Syndrome X. Chinese Journal of Evidence-Based Cardiovascular Medicine, 6, 558-561.
- Asbury, E.A., Creed, F. and Collins, P. (2004) Distinct Psychosocial Differences between Women with Coronary Heart Disease and Cardiac Syndrome X. European Heart Journal, 25, 1695-1701. https://doi.org/10.1016/j.ehj.2004.07.035
- Vermeltfoort, I.A., Raijmakers, P.G., Odekerken, D.A., Kuijper, A., Zwijnenburg, A. and Teule, G. (2009) Association between Anxiety Disorder and the Extent of Ischemia Observed in Cardiac Syndrome X. Journal of Nuclear Cardiology, 16, 405-410. https://doi.org/10.1007/s12350-008-9032-2
- Wang, C. and Wang, J.A. (2015) Coronary Atherosclerotic Heart Disease. Internal Medicine Journal, 339.
- Lv, X.L., Zhao, Z.Q., Feng, Z.Q., et al. (2014) Effect of Tongxinluo Capsule on Vascular Endothelial and Inflammatory Factors in Patients with Cardiac X Syndrome. Journal of Clinical Medicine in Practice, 18, 135.
- Cemin, R., Erlicher, A., Fattor, B., Pitscheider, W. and Cevese, A. (2008) Reduced Coronary Flow Reserve and Parasympathetic Dysfunction in Patients with Cardiovascular Syndrome X. Coronary Artery Disease, 19, 1-7. https://doi.org/10.1097/MCA.0b013e3282f18e8d
- Khawaja, I.S., Westermeyer, J.J., Gajwani, P. and Feinstein, R.E. (2009) Depression and Coronary Artery Disease: The Association, Mechanisms, and Therapeutic Implications. Psychiatry (Edgmont), 6, 38-51.
- Brunner, E.J., Shipley, M.J., Britton, A.R., Stansfeld, S.A., Heuschmann, P.U., Rudd, A.G., et al. (2014) Depressive Disorder, Coronary Heart Disease, and Stroke: Dose-Response and Reverse Causation Effects in the Whitehall II Cohort Study. European Journal of Preventive Cardiology, 21, 340-346. https://doi.org/10.1177/2047487314520785
- Liu, M.Y., Jiang, R.H., Hu, D.Y., et al. (2009) Emotional Disorder in Patients with Acute or Stable Coronary Heart Disease. Journal of Clinical and Experimental Medicine, 37, 904-907.
- Buffon, A., Rigattieri, S., Santini, S.A., Ramazzotti, V., Crea, F., Giardina, B., et al. (2000) Myocardial Ischemia-Reperfusion Damage after Pacing-Induced Tachycardia in Patients with Cardiac Syndrome X. American Journal of Physiology-Heart and Circulatory Physiology, 279, H2627-H2633. https://doi.org/10.1152/ajpheart.2000.279.6.H2627