Evidence supporting the use of: Hawthorn
For the health condition: Chest Pain

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Hawthorn (Crataegus spp.) has a long history of traditional use for cardiovascular issues, including chest pain (angina pectoris). Modern scientific research supports its potential benefits for certain heart conditions, though evidence specifically for chest pain is moderate rather than strong. Clinical studies indicate that hawthorn extract may improve symptoms of congestive heart failure and enhance exercise tolerance, which can indirectly reduce the frequency and severity of chest pain in patients with angina. Hawthorn is thought to exert its effects through vasodilation, antioxidant properties, and positive inotropic actions, leading to improved coronary blood flow and reduced cardiac workload.

Systematic reviews and meta-analyses have concluded that hawthorn extract can be a useful adjunct in the management of mild to moderate heart failure, and some studies report improvements in symptoms such as fatigue, palpitations, and exercise-induced chest discomfort. However, direct evidence for the treatment of angina pectoris (chest pain due to coronary artery disease) is less robust, with few large-scale, high-quality trials specifically targeting this condition. Most support comes from smaller studies and historical use.

In summary, while hawthorn’s use for chest pain has both traditional roots and some scientific support, especially for heart failure-related symptoms, more research is required to firmly establish its efficacy specifically for angina. Patients should consult healthcare professionals before using hawthorn for chest pain, particularly if they have diagnosed heart disease or are taking other cardiac medications.

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