褪黑素作为一种改善心力衰竭患者心功能和生活质量的新药:系统综述和荟萃分析

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Abolfazl Sam Daliri, Nima Goudarzi, Arshia Harati, Kourosh Kabir
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引用次数: 0

摘要

心衰作为一种晚期心脏疾病,在当今社会具有很高的发病率和患病率。迄今为止,已经发现了许多改善心力衰竭患者病情的药物和治疗方法,而褪黑素治疗是临床医生很少使用的鲜为人知的方法之一。方法为探讨褪黑素对心力衰竭发展的积极作用,基于方案检索有效数据库,通过关键词进行系统综述和meta分析。根据符合条件的标准,在扫描标题和/或摘要并阅读全文后,选择4篇文章进行数据综合分析。结果观察到射血分数增加(平均差异:2.39[−1.82,6.59]p = 0.27), NYHA(纽约心脏协会功能分级)(优势比:4.84 [1.00,23.44]p = 0.05),生活质量显著提高(平均差异:−5.95[−9.54,−2.35]p = 0.001)。随着褪黑激素的作用,疲劳和NT-Pro BNP减少,但相反,睡眠质量,食欲和FMD(血流介导的舒张)显着增加。结论褪黑素可通过提高患者的心理参数和心脏效能,作为一种治疗和缓解心力衰竭的新药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Melatonin as a Novel Drug to Improve Cardiac Function and Quality of Life in Heart Failure Patients: A Systematic Review and Meta-Analysis

Melatonin as a Novel Drug to Improve Cardiac Function and Quality of Life in Heart Failure Patients: A Systematic Review and Meta-Analysis

Background

Heart failure as an advanced cardiac disease has a high incidence and prevalence in all societies nowadays. Many drugs and treatment methods have been discovered for improving heart failure patients' conditions till now in this way melatonin therapy is one of the less-known methods rarely used by clinicians.

Methods

To investigate the positive effect of melatonin on heart failure development, we conducted a systematic review and meta-analysis by searching valid databases with keywords based on the protocol. Based on the eligible criteria, four articles were selected for data synthesis and analysis after scanning the title and/or abstract and reading full-text.

Results

As a result of analysis, increasing ejection fraction (Mean difference: 2.39 [−1.82, 6.59] p = 0.27), NYHA (New York Heart Association Functional Class) (Odds ratio: 4.84 [1.00, 23.44] p = 0.05), and significant elevation of quality of life (Mean difference: −5.95 [−9.54, −2.35] p = 0.001) were observed. As the effect of melatonin, fatigue, and NT-Pro BNP were reduced but on the contrary sleep quality, appetite, and FMD (Flow-Mediated Dilation) significantly increased.

Conclusion

Thus, melatonin, by increasing psychologic parameters and cardiac potency, could be advised as a novel drug for treatment and palliating heart failure patients.

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来源期刊
Clinical Cardiology
Clinical Cardiology 医学-心血管系统
CiteScore
5.10
自引率
3.70%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.
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