Effect of a Probiotic Preparation (VSL#3) on CardiovascularRisk Parameters in Critically-Ill Patients

Sarvin Sanaie1, Mehrangiz Ebrahimi-Mameghani, Ata Mahmoodpoor

  • 1Student Research Center, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.

Insights

Probiotics significantly reduced triglyceride and hs-CRP levels while increasing HDL-C in critically ill patients. Total cholesterol and LDL-C showed no significant changes, indicating targeted lipid benefits.

Area of Science:

  • Critical care medicine
  • Microbiology
  • Nutritional science

Background:

  • Cardiovascular disease (CVD) is a leading cause of global mortality, often linked to lipid abnormalities.
  • Critically ill patients are susceptible to lipid disorders and inflammation.
  • Probiotics show potential in restoring lipid homeostasis and managing inflammation.

Purpose of the Study:

  • To evaluate the impact of probiotic supplementation on inflammation, antioxidant capacity, and lipid peroxidation in critically ill patients.
  • To assess changes in serum lipid profiles and high-sensitivity C-reactive protein (hs-CRP) levels.

Main Methods:

  • A randomized controlled trial involving 40 critically ill patients.
  • Participants received either probiotics or a placebo for 7 days.
  • Serum levels of triglyceride (TG), total cholesterol, HDL-C, LDL-C, and hs-CRP were measured pre- and post-intervention.

Main Results:

  • Probiotic administration led to significant reductions in TG (P=0.043) and hs-CRP (P=0.003) levels.
  • A significant increase in HDL-C levels was observed (P<0.001) in the probiotic group.
  • No significant differences were found in total cholesterol or LDL-C levels between the groups.

Conclusions:

  • Probiotics effectively reduce triglyceride and hs-CRP levels in critically ill patients.
  • Probiotic supplementation can improve HDL-C levels in this patient population.
  • Probiotics do not significantly alter total cholesterol or LDL-C levels in critically ill patients.
Abstract

Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
361
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
500
Probiotics01:22

Probiotics

Probiotics are live, non-pathogenic microorganisms that confer health benefits by modulating the gut microbiota. The human gastrointestinal tract harbors a complex microbial ecosystem, and the balance of this microbiota is crucial for digestive and systemic health. Among the most extensively studied and utilized probiotics are species formerly classified within the genera Lactobacillus and Bifidobacterium. These organisms not only naturally colonize the human gut but are also consumed through...
299
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
891
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
548
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
344