To assess the effect of thiamine supplementation on cardiac parameters and functional capacity in HF patients.
A total of 40 HF patients with NYHA Class II and III symptoms were divided into two groups of twenty each. One group received thiamine and another placebo. Cardiac parameters (ESV, EDV, and EF) and functional capacity (6MWT) were measured at the start of the study, at 1 week and after 4 weeks.
After 1 week of intervention in Thiamine group, ESV decreased by a mean of 6.45 ml and 6MWT improved by 27.67 m, EDV decreased by 7.1 ml and EF improved by 1.56%. In Placebo group, EDV increased by 0.93 ml and ESV and EF remained almost unchanged. 6MWT improved from 261.11 ± 49.96 to 275.78 ± 62.60 m (p = 0.01). After 4 weeks in Thiamine group, ESV decreased by 8.09 ml and EF increased by 18.65% and 6MWT by 55.35 m. In Placebo group, EDV increased by 5.25 ml and ESV decreased by 6.03%. EF and 6MWT did not show any significant change.
Thiamine supplementation improves cardiac function and may prove to be an important part of HF treatment regimen particularly in India given the high prevalence of thiamine deficiency.
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