Heart Failure
Conditions
Keywords
heart failure, probiotics, Saccharomyces boulardii, cardio-intestinal syndrome, gut, inflammation
Brief summary
The purpose of this study is to evaluate the feasibility, safety and effects in inflammatory response of the therapy with a probiotic agent, the yeast Saccharomyces boulardii (SB), in chronic heart failure patients.
Detailed description
A cardiointestinal syndrome has been described in heart failure patients, with morphologic and functional intestinal disorders, increased enteropathogenic bacteria concentration, bacterial translocation and inflammatory activation, thus contributing for clinical worsening and progression of the disease. In clinical practice, probiotics has been used in several different conditions, as inflammatory bowel diseases, acute and antibiotic-associated diarrhea, food allergies, and cancer, showing benefits in inflammation and reducing bacterial translocation. However, the use of probiotics in heart failure has never been described.
Interventions
1 gram per day, during 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Class I or II (NYHA)heart failure patients
Exclusion criteria
* Corticosteroid use within 30 days * NSAID use within 30 days * Antibiotic use within 30 days * Acute infections * Inflammatory diseases * Autoimmune diseases * Cancer * Intestinal diseases * Chronic renal failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analysis of biochemical profile (high-sensitivity C reactive protein, total leukocyte count and uric acid seric levels) | 3 months | Analysis at baseline and after intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analysis of cardiac remodelling | 3 months | Ecocardiographic analysis of left atrial diameter and left ventricular ejection fraction at baseline and after intervention |
| Analysis of creatinine seric levels | 3 months | — |
Countries
Brazil