Review Article

Application of Traditional Chinese Medicine in Treatment of Atrial Fibrillation

Table 2

Application of Traditional Chinese patent medicines in AF.

Chinese patent medicineComponentMethods of studyResultMechanismEffect on the four principles of AF

Wenxin granuleCodonopsis pilosula Nannf., polygonatum sibiricum Red., Panax notoginseng, Nardostachys chinensis Batal., and amberClinical research (AF patients) [39] and cellular study (canine right cardiomyocytes) [38]Shortening conversion time, decreasing the required dosage of amiodarone and avoiding the adverse reaction [39], prolongation of the ERP selectively in the atrial cardiomyocytes without APD prolongation, lengthening the P-wave duration, and preventing persistent AF [38]Inhibition of INa selectivity in atrium [38, 41]Rhythm control
Animal study (dog)Lowering AF inducibility after the ganglionic plexi (GP) ablationSuppressing atrial substrate remodeling without increasing the levels of ANP, TNF-α, and IL-6 and expression of connexin 43 in atrial tissues [47]Management of risk factors and rhythm control

Shen Song Yang Xin capsulePanax ginseng, Ophiopogon japonicus, Cornus officinalis Sieb., Salvia miltiorrhiza Bge., Ziziphus jujuba Mill., Taxillus chinensis Danser, Paeonia lactiflora Pall., ground beetle, Nardostachys jatamansi, Coptis chinensis Franch., Schisandra sphenanthera Rehd., and fossilia ossis mastodiClinical research (paroxysmal AF patients)Paroxysmal AF [53]/Rhythm control
Cellular study (rabbit pulmonary vein cardiomyocytes)Prolonging APDDepressing the ICa-L, Ito, and IK1 [54]Rhythm control
Animal study (rat) [55], clinical research (premature ventricular contractions patients) [56], and cellular study (guinea pig ventricular myocytes) [57]Treating premature ventricular contractions and ventricular arrhythmias [55, 56]Blocking INa, ICaL, Ito, and IK1 [57, 58]/

Shenmai injectionGinseng saponins, radix ophiopogonis saponins, radix ophiopogonis flavonoids and traces of ginseng polysaccharides, and radix ophiopogonis polysaccharideClinical researchConverting AF into sinus rhythmProlonging ERP [60]Rhythm control