Review Article

Xinmailong Injection for Improvement of Cardiac Function in Patients with Heart Failure: A Systematic Review and Meta-Analysis

Table 1

Characteristics of the selected studies.

StudyIndicationNYHASample size (E/C)Mean age (year)Male/female (E/C)Course of disease (year)InterventionDuration (day)Endpoints

Chen 2012 [20]CHFIII-IV47/5369.3 ± 6.9NA5.7 ± 1.25 mg/kg bid5LVEF, BNP
Du et al. 2016 [21]CHFII–IV49/4949–7953/45NA5 mg/kg bid10LVEF, BNP, 6MWT
Guo and Ren 2016 [22]CHFII–IV52/52E: 69 ± 8
C: 68 ± 5
E: 26/26
C: 28/24
E: 8.3 ± 6.0
C: 8.3 ± 6.1
6 ml bid106MWT, LVEF, BNP
Han et al. 2012 [23]CHFII–IV25/21E: 65 ± 7
C: 68 ± 6
E: 15/10
C: 13/8
NA5–10 mg/kg bid14LVEF, 6MWT
Han and Gu 2016 [24]CHFNA136/147E: 79 ± 11
C: 77 ± 12
E: 109/27
C: 122/25
NA4 ml bid14LVEF, BNP
Han and Liu 2018 [25]CHFII–IV56/56E: 72.5 ± 11.4
C: 74.3 ± 12.7
E: 38/18
C: 36/20
NA5 mg/kg bid10LVEF
He 2017 [26]CHFII–IV47/48E: 70.8 ± 7.6
C: 69.6 ± 7.9
E: 23/24
C: 23/25
NA5 mg/kg bid15LVEF, 6MWT
Li and Li 2015 [27]CHFII–IV35/30E: 62 ± 10
C: 58 ± 8
E: 20/15
C: 18/12
NA8 ml bid15LVEF
Li 2016 [28]CHFI–IV24/24E: 63.3 ± 5.8
C: 63.7 ± 5.2
E: 16/8
C: 15/9
E: 7.6 ± 6.5
C: 7.9 ± 6.3
5 mg/kg bid14BNP, LVEF
Li et al. 2018 [29]HFII-III100/100E: 58.9 ± 7.2
C: 58.4 ± 7.1
E: 52/48
C: 54/46
E: 3.4 ± 1.4
C: 3.4 ± 1.5
5 mg/kg bid5BNP
Liu HL 2018 [30]CHFII–IV80/42E: 67 ± 8
C: 68 ± 10
E: 38/42
C: 32/48
NA5 mg/kg bid5LVEF, 6MWT
Liu et al. 2018 [31]CHFII–IV46/46E: 60.3 ± 4.0
C: 61.0 ± 4.3
E: 25/21
C: 27/19
E: 7.9 ± 1.4
C: 8.0 ± 1.3
4 ml bid14BNP, LVEF
Liu et al. 2018 [32]CHFII–IV60/60E: 62–84
C: 63–85
E: 31/29
C: 30/30
NA5 mg/kg bid10BNP
Quan and Miao 2017 [33]CHFII–IV46/48E: 67.6 ± 10.5
C: 65.8 ± 11.4
E: 35/16
C: 38/13
E: 37.8 ± 7.5
C: 39.6 ± 8.6
5 mg/kg bid10LVEF, 6MWT
Shen et al. 2017 [34]CHFII–IV58/58E: 62.8 ± 7.1
C: 61.6 ± 7.8
E: 34/24
C: 36/22
E: 8.3 ± 7.5
C: 8.1 ± 7.8
4 ml bid146MWT, LVEF
Shi et al. 2016 [35]HFNA58/58E: 56.2 ± 8.74
C: 55.6 ± 9.18
E: 28/30
C: 29/29
NA5 mg/kg bid5BNP
Teng and Wang 2017 [36]CHFII-III40/40E: 75.5 ± 3.8
C: 73.4 ± 3.7
E: 22/18
C: 23/17
E: 1.7 ± 0.5
C: 1.5 ± 0.3
5 mg/kg bid5LVEF
Wang et al. 2012 [37]CHFIII-IV24/26NANANANA10LVEF, 6MWT, BNP
Wu et al. 2017 [38]HFNA48/42E: 54.05 ± 3.96
C: 56.13 ± 4.87
E: 28/20
C: 31/11
E: 6.33 ± 0.94
C: 6.01 ± 0.33
5 mg/kg bid10BNP
Wu and Yang 2015 [39]HFIII-IV50/50E: 70 ± 7.5
C: 71 ± 7.1
E: 30/20
C: 29/21
NA5 mg/kg bid10BNP
Xu and Xu 2016 [40]CHFNA76/76NAE: 50/26
C: 48/28
NA5 mg/kg bid14LVEF, 6MWT
Xue et al. 2015 [41]CHFII-III120/115E: 63.1 ± 9.80
C: 63.9 ± 9.01
E: 69/46
C: 60/60
E: 2.07
C: 2.37
5 mg/kg bid5LVEF, 6MWT
Xue et al. 2019 [14]CHFII-III50/50E: 63.8 ± 9.46
C: 64.3 ± 7.78
E: 29/21
C: 27/23
E: 2.48 ± 2.25
C: 1.90 ± 1.65
5 mg/kg bid16LVEF, 6MWT, BNP
Yang et al. 2012 [42]CHFIII-IV57/53E: 79 ± 10
C: 78 ± 11
E: 46/11
C: 44/9
NA4 ml bid14LVEF, BNP
Yang et al. 2017 [43]CHFII–IV33/33E: 60.2 ± 5.8
C: 61.1 ± 4.5
E: 18/15
C: 19/14
E: 3.9 ± 1.2
C: 3.9 ± 1.0
5–10 mg/kg bid14LVEF
Yuan et al. 2015 [44]CHFI–IV54/34E: 51.5 ± 5.6
C: 52.3 ± 6.0
E: 30/24
C: 19/15
E: 2.5 ± 2.3
C: 2.8 ± 3.1
5 mg/kg bid56MWT
Zhao et al. 2014 [45]CHFII–IV30/30E: 41–78
C: 40–76
E: 13/17
C: 16/14
NA5 mg/kg bid14LVEF, 6MWT
Zhao et al. 2010 [46]CHFIV131/112NANANA5–10 mg/kg bid14LVEF, BNP
Jiang et al. 2019 [47]HF/52/56E: 63.1 ± 7.2
C: 62.7 ± 7.6
E: 29/23
C: 31/25
E: 7.87 ± 4.2
C: 7.57 ± 5.7
5 mg/kg bid106MWT, LVEF
Li 2019 [48]CHFII–IV200/60E: 63.79 ± 8.82
C: 62.96 ± 9.34
E: 131/69
C: 40/20
E: 9.06 ± 2.42
C: 8.96 ± 2.25
8 ml qd14LVEF
Liu and Zhao 2019 [49]CHFI–IV42/42E: 57.43 ± 6. 45
C: 56.55 ± 5. 94
E: 25/17
C: 20/22
NA5–10 mg/kg bid5LVEF
Zhang and Zhao 2019 [50]CHFII–IV47/46E: 68.85 ± 6.20
C: 69.03 ± 6.31
E: 27/20
C: 28/18
NA5 mg/kg bid14LVEF

NYHA, New York Heart Association; E, experimental group; C, control group; CHF, chronic heart failure; HF, heart failure, NA, not applicable; BNP, brain natriuretic peptide; 6MWT, 6-minute walk test; LVEF, left ventricular ejection fraction; IVST, interventricular septal thickness.