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[Definition of therapeutic effect of mildronate in patients with chronic heart failure]
V Chumburidze1, T Kikalishvili, T Sulashvili
1National Centre of Therapy, Tbilisi, Georgia.
Insights
Mildronate effectively manages chronic heart failure (CHF) when added to standard treatments. This study shows improved outcomes for CHF patients using mildronate, optimizing cardiac energy metabolism for better results.
Area of Science:
- Cardiology
- Pharmacology
- Internal Medicine
Background:
- Chronic heart failure (CHF) is a leading cause of death and disability in developed nations, affecting 1-2% of the population with increasing prevalence.
- Current first-line treatments for CHF include ACE inhibitors, beta-blockers, and diuretics.
Purpose of the Study:
- To investigate the efficacy and safety of mildronate as an add-on therapy for patients with chronic heart failure (CHF) classified as NYHA III-IV functional class.
- To evaluate mildronate's potential in optimizing cardiac energy metabolism for CHF management.
Main Methods:
- A study involving 110 patients with CHF, already stable on conventional treatments (diuretics, ACE inhibitors, beta-blockers, digoxin).
- Patients received additional treatment with mildronate.
- Assessments included clinical data, changes in functional class (FC), echocardiography, and the 6-minute walk test.
Main Results:
- Mildronate demonstrated effectiveness as part of a comprehensive treatment strategy for chronic heart failure.
- The study suggests mildronate is a valuable addition to existing CHF therapies.
Conclusions:
- Mildronate is an effective drug for the complex management of chronic heart failure (CHF).
- The findings support the use of mildronate to improve outcomes in CHF patients.
Abstract:
In developed countries chronic heart failure (CHF) is one of the main reasons of death and physical disability. CHF affects approximately 1-2% of the population and its prevalence is still increasing. Today ACE inhibitors, beta-blockers, diuretics are the first line drugs in treatment of CHF. Mildronate is a new drug optimizing cardiac energy metabolism and could be an effective approach in CHF patients' management. The aim of the study was to investigate the efficacy and safety of mildronate in treatment of CHF (NYHA III-IV funct. class) patients. 110 patients with CHF, stable on conventional treatment (diuretics, ACE inhibitors, beta-blokers, digoxin), were treated additionally with mildronate. Assessment was performed with clinical data, FC change, ECO-cardiography, 6-minute walk test. Mildronate showed to be an effective drug in complex treatment of chronic heart failure.
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