Heart Diseases
Conditions
Keywords
Diuretic drugs, Thiamin deficiency
Brief summary
The purpose of this study is to determine effect of thiamin supplementation on thiamin status by measuring thiamin pyrophosphate effect in children with heart disease receiving diuretic drugs.
Detailed description
Children with heart disease receiving diuretic drugs are susceptible to thiamin deficiency due to increase renal loss. Thiamin deficiency causes abnormal cardiac contraction resulting in heart failure.
Interventions
Low dose group: thaimine mononitrate 25 mg/day per oral daily for 4 weeks High dose group: thaimine mononitrate 50 mg/day per oral daily for 4 weeks Placebo group: placebo 25 mg/day per oral daily for 4 weeks
Sponsors
Study design
Intervention model description
1. Enroll children with heart disease receiving diuretic drugs 2. Evaluate thiamin status by measuring thiamin pyrophosphate effect, cardiac function by echocardiography 3. Randomize subjects into 3 arms: 2 groups receive different dosages of thiamin supplementation and 1 group receives placebo for 4 weeks 4. After 4 weeks, thiamin status and echocardiography are evaluated.
Eligibility
Inclusion criteria
* Children aged 1 month old to 15 years old diagnosed as heart disease * Receiving diuretic drugs at least 1 month
Exclusion criteria
* Receiving thiamin-containing vitamins * Receiving hemodialysis or peritoneal dialysis * Having problems of intestinal malabsorption, chronic lung disease, red blood cell abnormality such as thalassemia , abnormal hemoglobin typing, G6PD deficiency * Receiving thiamin-producing probiotics * Receiving inotropic drugs * Severe anemia: Hb \< 7 g/dL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in thiamin pyrophosphate effect | 4 weeks | Compare percentage change in thiamin pyrophosphate effect before and after thiamin supplementation |
Countries
Thailand