Phytoconstituents with cardioprotective properties: A pharmacological overview on their efficacy against myocardial infarction

Phytother Res. 2024 Sep;38(9):4467-4501. doi: 10.1002/ptr.8292. Epub 2024 Jul 18.

Abstract

Myocardial infarction (MI) is considered one of the most common cardiac diseases and major cause of death worldwide. The prevalence of MI and MI-associated mortality have been increasing in recent years due to poor lifestyle habits viz. residency, obesity, stress, and pollution. Synthetic drugs for the treatment of MI provide good chance of survival; however, the demand to search more safe, effective, and natural drugs is increasing. Plants provide fruitful sources for powerful antioxidant and anti-inflammatory agents for prevention and/or treatment of MI. However, many plant extracts lack exact information about their possible dosage, toxicity and drug interactions which may hinder their usefulness as potential treatment options. Phytoconstituents play cardioprotective role by either acting as a prophylactic or adjuvant therapy to the concurrently used synthetic drugs to decrease the dosage or relief the side effects of such drugs. This review highlights the role of different herbal formulations, examples of plant extracts and types of several isolated phytoconstituents (phenolic acids, flavonoids, stilbenes, alkaloids, phenyl propanoids) in the prevention of MI with reported activities. Moreover, their possible mechanisms of action are also discussed to guide future research for the development of safer substitutes to manage MI.

Keywords: herbals; isoproterenol; myocardial infarction; nutraceuticals; phytoconstituents; plant extract.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemistry
  • Anti-Inflammatory Agents / pharmacology
  • Antioxidants / chemistry
  • Antioxidants / pharmacology
  • Cardiotonic Agents* / chemistry
  • Cardiotonic Agents* / pharmacology
  • Humans
  • Myocardial Infarction* / drug therapy
  • Phytochemicals* / chemistry
  • Phytochemicals* / pharmacology
  • Phytotherapy
  • Plant Extracts* / chemistry
  • Plant Extracts* / pharmacology

Substances

  • Plant Extracts
  • Cardiotonic Agents
  • Phytochemicals
  • Antioxidants
  • Anti-Inflammatory Agents