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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Saccharomyces boulardii | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saccharomyces boulardii | Drug | 1 gram per day, during 3 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of biochemical profile (high-sensitivity C reactive protein, total leukocyte count and uric acid seric levels) | Analysis at baseline and after intervention | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of cardiac remodelling | Ecocardiographic analysis of left atrial diameter and left ventricular ejection fraction at baseline and after intervention | 3 months |
| Analysis of creatinine seric levels |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Annelise C Costanza, MD | Universidade Federal Fluminense | Principal Investigator |
| Evandro T Mesquita, MD,PhD | Universidade Federal Fluminense | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitário Antonio Pedro | Niterói | Rio de Janeiro | 24033-900 | Brazil |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 3 months |