Cardiovascular diseases (CVDs) remain the leading cause of death
worldwide, and therefore become one of the most prominent global public
health concerns. Puerarin, an isoflavone glycoside derived from Pueraria
lobata (Willd.) Ohwi, has been identified as a pharmacologically active
component with diverse benefits. A large number of experimental and
clinical studies have demonstrated that puerarin is widely used in the
treatment of CVDs, diabetes and its complications, Alzheimer’s disease,
Parkinson’s disease, osteonecrosis, endometriosis and cancer. In this
review, we systematically analyze the preclinical investigations of
puerarin in CVDs, such as atherosclerosis, cardiac hypertrophy, heart
failure, diabetic cardiovascular complications, myocardial infarction
(MI), stroke and hypertension. In addition, the potential molecular
targets of puerarin are also discussed. Furthermore,we summarize the
clinical trails of puerarin in the treatment of CVDs. Finally, the
therapeutic effects of puerarin derivatives and its drug delivery
systems are overviewed.