Year : 2019 | Volume
: 7 | Issue : 2 | Page : 68--73
Role of thiamine supplementation in the treatment of patients with heart failure: A double-blind randomized controlled trial
Shamim Iqbal1, Aamir Rashid1, Irfan Bhat2, Jahangir Rashid1, Imran Hafeez1, Ajaz Lone1, Khurshid Iqbal1, Iqbal Dar1
1 Department of Cardiology, SKIMS, Soura, Jammu and Kashmir, India
2 Department of Cardiology, GMC, Srinagar, Jammu and Kashmir, India
Introduction: The role of thiamine supplementation in heart failure (HF) patients has shown conflicting results and has not been adequately studied.
Aims and Objectives: The aim and objective were to determine whether thiamine supplementation will provide clinical, biochemical, and echocardiographic benefit in congestive HF patients.
Materials and Methods: In this single-center, double-blind, prospective randomized controlled trial, HF patients with varied etiology were included. Patients were randomly allocated to 1 week of inpatient double-blind intravenous therapy with either placebo or thiamine. Parameters studied included clinical, Echo left ventricular ejection fraction (LVEF), and thiamine pyrophosphate effect (TPPE) levels before/after treatment. After completion of 1-week treatment, all patients were given oral thiamine and evaluated at the outpatient clinic after 6 weeks.
Results: A total of fifty patients were studied. There was no difference at baseline in mean age (61.4 ± 7.1 vs. 62.4 ± 8.0 years), sex (males 52% vs. 56%), etiology (idiopathic dilated cardiomyopathy 68% vs. 60%, ischemic heart disease 20% vs. 24%), clinical parameters, TPPE levels (16.4 ± 5.2 vs. 16.2 ± 6.5%), and LVEF (28.1% ± 6.7% vs. 28.3% ± 6.6%) in thiamine as compared to placebo group. After 1 week of treatment, there was significant improvement in systolic blood pressure (119.2 ± 18.3 vs. 106.1 ± 18.9 mmHgP < 0.001), diastolic blood pressure (77.4 ± 8.3 vs. 68.2 ± 9.7 mm HgP < 0.001), heart rate (67.0 ± 8.4 vs. 81.9 ± 10.7P < 0.001), weight (66.2 ± 9.5 vs. 71.2 ± 8.2 kgP < 0.001), 3rd-day urine output (1286.0 ± 505.7 ml vs. 750.0 ± 237.2 ml [P < 0.001]), New York Heart Association class (1.6 ± 0.5 vs. 2.1 ± 0.4P < 0.001), LVEF percentage change (7.0 ± 5.2 vs. 0.7% ± 4.7%P < 0.001), and TPPE levels (6.8% ± 1.5% vs. 16.0% ± 6.7%P < 0.001) in thiamine compared with placebo group.
Conclusions: Thiamine supplementation significantly improved clinical and echocardiographic parameters. Thiamine supplementation is cost-effective, is benign, and is easily available with significant clinical benefits.
Dr. Aamir Rashid
House No. 8, LD Colony Rawalpora, Srinagar - 190 005, Jammu and Kashmir
|How to cite this article:|
Iqbal S, Rashid A, Bhat I, Rashid J, Hafeez I, Lone A, Iqbal K, Dar I. Role of thiamine supplementation in the treatment of patients with heart failure: A double-blind randomized controlled trial.Heart India 2019;7:68-73
|How to cite this URL:|
Iqbal S, Rashid A, Bhat I, Rashid J, Hafeez I, Lone A, Iqbal K, Dar I. Role of thiamine supplementation in the treatment of patients with heart failure: A double-blind randomized controlled trial. Heart India [serial online] 2019 [cited 2020 Feb 25 ];7:68-73
Available from: http://www.heartindia.net/article.asp?issn=2321-449x;year=2019;volume=7;issue=2;spage=68;epage=73;aulast=Iqbal;type=0