This study aims to provide clinical and scientific information about the effects of various
anti-inflammatory medicines on patients with cardiovascular disease (CVD). We also discussed
the anti-inflammatory strategies and molecular mechanisms being investigated in preclinical
or clinical CVD research. Numerous studies on anti-inflammatory medicines for CVD
have resulted from greater knowledge of how innate and adaptive immunity influence plaque
development and rupture. Some of these are now being evaluated in clinical trials and use lower
dosages of existing medications that were initially developed for other inflammatory disorders
with a high risk of CVD, such as rheumatoid arthritis and psoriasis. Other research includes retrospective
and meta-analyses of clinical trials that examine the risk of CVD among individuals
with various inflammatory diseases. We also included natural bioactive compounds, nanodrug
and multiomics approaches to treat CVD by utilizing inflammatory pathways. Chronic subclinical
inflammation is a major contributor to the development of CVD and has been associated
with both the onset and progression of atherosclerosis. Several pro-inflammatory cytokines, including
C-reactive protein (CRP), tumor necrosis factor-alpha (TNF-α), interleukins-1 and 6
(IL-1 and IL-6), leukotrienes, and adiponectin, have been identified as independent risk factors
for coronary heart disease and promoters of arterial development. Researchers are looking for
ways to stop the different inflammatory pathways that lead to atherosclerosis. These include
multiomics approach, antioxidants, phospholipase A2 inhibitors, leukotriene pathway inhibitors,
Phospholipase A2 (PLA2) inhibitors, non-inhibitors anti-inflammatory drugs (like methotrexate),
IL-1 inhibitors, and p-selectin inhibitors.