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Cardiovascular Effects of Salvia Miltiorrhiza Extract (Danshen)

Ainult registreeritud kasutajad saavad artikleid tõlkida
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Link salvestatakse lõikelauale
Staatus
Sponsorid
Radboud University

Märksõnad

Abstraktne

Rationale: Extracts of the plant Salvia miltiorrhiza (Danshen) have been used as traditional Chinese medicine in the treatment of cardiovascular diseases, such as angina pectoris and myocardial infarction. Several preclinical studies point towards promising effects of Danshen on risk factors of atherosclerotic cardiovascular diseases, such as hyperlipidemia and hypertension.
Objective: Our primary objective is to determine the effect of Salvia miltiorrhiza extract (Danshen) on hyperlipidemia. Secondary objective is to investigate the effect of Danshen on hypertension. Further objectives are to determine its effect on endothelial function, oxidative stress, inflammation, hemostasis and hemorheology, and on insulin sensitivity.

Kuupäevad

Viimati kinnitatud: 12/31/2011
Esmalt esitatud: 03/22/2012
Hinnanguline registreerumine on esitatud: 03/25/2012
Esmalt postitatud: 03/26/2012
Viimane värskendus on esitatud: 05/22/2012
Viimati värskendus postitatud: 05/23/2012
Õppe tegelik alguskuupäev: 03/31/2012
Eeldatav esmane lõpetamise kuupäev: 11/30/2012
Eeldatav uuringu lõpetamise kuupäev: 02/28/2013

Seisund või haigus

Dyslipidemias
Hypertension
Vasodilation
Oxidative Stress
Inflammation

Sekkumine / ravi

Dietary Supplement: Salvia miltiorrhiza extract (Danshen)

Dietary Supplement: placebo

Faas

-

Käerühmad

ArmSekkumine / ravi
Experimental: Salvia miltiorrhiza extract (Danshen)
p.o. Salvia miltiorrhiza extract, 1.5 g twice daily for four consecutive weeks
Dietary Supplement: Salvia miltiorrhiza extract (Danshen)
3 capsules of 500 mg Salvia miltiorrhiza extract, twice daily for four consecutive weeks
Placebo Comparator: placebo
p.o. placebo, twice daily
Dietary Supplement: placebo
3 placebo capsules, twice daily for four consecutive weeks

Abikõlblikkuse kriteeriumid

Õppimiseks sobivad vanused 40 Years To 40 Years
Uuringuks kõlblikud soodAll
Võtab vastu tervislikke vabatahtlikkeJah
Kriteeriumid

Inclusion Criteria:

- Age: 40-70

- Women:

- postmenopausal, or

- use of contraceptive pill

- Hyperlipidemia:

- elevated level of triglycerides: > 1.7 mmol/L, or

- elevated level of LDL-cholesterol: > 3.5 mmol/L

- Hypertension:

- systolic pressure > 140 mm Hg, or

- diastolic pressure > 90 mm Hg

- Signed informed consent

Exclusion Criteria:

- Alcohol or drug abuse

- History of cardiovascular disease (myocard infarct, angina pectoris, CVA)

- Diabetes mellitus, when treated with insulin

- Pregnancy

- Hyperlipidemia which needs conventional treatment

- elevated level of triglycerides: > 8 mmol/L

- elevated level of LDL-cholesterol: > 5 mmol/L

- Hypertension which needs conventional treatment:

- systolic pressure > 180 mm Hg

- diastolic pressure > 110 mm Hg

- Clinically significant liver disease (3 times the upper normal limit of ALAT,ASAT)

- Clinically significant anemia (male Hb < 6,9 mmol/L, female < 6,25 mmol/L)

- Renal disease defined as MDRD < 60 ml/min/1.73m2

- Participation to any drug-investigation during the previous 90 days

- Use of any herbal product during the previous 30 days

- Concomitant (chronic) use of:

Medicinal products:

- ACE-inhibitors, including a.o. captopril, enalapril, ramipril

- AT1-antagonists, including a.o. losartan, valsartan, irbesartan

- Statins, including a.o. simvastatin, rosuvastatin

- Anticoagulant drugs, including a.o. aspirin

- Calciumantagonists (including a.o. amlodipine, nifedipine, verapamil)

- Use of more than 1 antihypertensive drug

- High-dose antihypertensive medication (above defined daily dose)

- Drugs which are exclusively metabolised by CYP3A4 (Flockhart DA; P450 drug interaction table, including a.o. erythromycin, midazolam, cyclosporine, HIV antivirals)

Food products:

- (Antioxidant) vitamin supplements

- Other herbs, including a.o. St John's wort

- Grapefruit juice

Tulemus

Esmased tulemusnäitajad

1. Hyperlipidemia [after 4 weeks of treatment with Danshen]

Blood tests: lipids, in particular LDL-cholesterol.

Sekundaarsed tulemusmõõdud

1. Hypertension [after 4 weeks of treatment with Danshen]

2. Endothelial function [after 4 weeks of treatment with Danshen]

3. Plasma markers of oxidative stress [after 4 weeks of treatment with Danshen]

4. Vascular inflammation and inflammatory activation of adipose tissue [after 4 weeks of treatment with danshen]

5. Hemostasis and hemorheological parameters [after 4 weeks of treatment with Danshen]

6. Insulin sensitivity [after 4 weeks of treatment with Danshen]

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