Phytotherapy in patients with cardiovascular diseases-A descriptive survey in Vojvodina, Serbia

Introduction: High morbidity and mortality associated with cardiovascular diseases (CVD) require dietary and lifestyle changes, as well as other preventive approaches and medication. Patients often opt for natural therapies, which include phytotherapy. The aim of this study was to investigate the use of herbs in CVD and the safety of their concomitant use with conventional drugs. Methods: A prospective, repetitive cross-section survey was conducted in pharmacies in Vojvodina, Serbia, during the period of 2012-2017. The patients were enrolled in this specifically designed survey. All data were expressed as percentages (nearest whole number). Results: A total of 749 patients were included in the study, of which 168 (22%) were classified as patients with CVD. High usage of herbal medicine was observed in all of the interviewed patients; 39% of patients were using herbs with primary effects on CVD (ginkgo and garlic being the most common), and 56% of them used herbs for other ailments. Approximately half of the patients considered that it was not necessary to inform or consult a doctor about herbal co-therapy. No adverse effects were recorded. Conclusions: Phytotherapy appears to be frequently used by patients with CVD. Patients and doctors should improve communication concerning the use of herbal products in order to achieve effective and safe treatment of CVD.