Recently, researchers have paid attention to the development of new products such as supplements food and nutraceuticals for identify and develop integrative therapies to be used in cardiovascular disease. As suggested by literature, some nutritional components (creatine, ribose) can enhance the fundamental energy levels for the functioning of the heart muscle and can enhance the body's antioxidant capacity through the reduction in free radicals activity, one of the main pathogenic mechanisms of these diseases. In this context, the investigators have developed a research with the principal purpose to establish whether a supplement of creatine and ribose can improve the total work capacity during exercise in a population of patients with known ischemic heart disease.
The investigators will enroll patients with previous acute coronary syndrome treated for at least 30 days by hospital discharge. The treatment regimen of all patients will be optimized in accordance with European Society of Cardiology guidelines. Standardized pharmacological treatment during cardiac rehabilitation period will include administration of angiotensin converting enzyme inhibition (ACE), beta-blockers and antiplatelet blockers. Furthermore, in order to keep patients free from angina symptoms, in some cases calcium channel blockers and/or nitrates will be used. The investigators will randomize participants into two groups, one receiving treatment Creatine, D-Ribose, B1 Vitamin, and B6 vitamin, and one receiving placebo in a double blind study design, for 6 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
55
The treatment will consist of taking 2 sachets / day for the first two weeks, and then continuing with 1 sachet/day for the next month.
Water-soluble powder in sachets of 4 grams containing inert product consisting of starch powder.
Blood glucose
mg/dl
Time frame: Change from Baseline at 6 months
Total cholesterol
mg/dl
Time frame: Change from Baseline at 6 months
LDL-cholesterol
mg/dl
Time frame: Change from Baseline at 6 months
HDL-cholesterol
mg/dl
Time frame: Change from Baseline at 6 months
Triglycerides
mg/dl
Time frame: Change from Baseline at 6 months
Creatinine
mg/dl
Time frame: Change from Baseline at 6 months
Alanine transaminase
UI/l
Time frame: Change from Baseline at 6 months
Water composition
Percentage
Time frame: Change from Baseline at 6 months
Fat mass
Percentage
Time frame: Change from Baseline at 6 months
Free fat mass
Percentage
Time frame: Change from Baseline at 6 months
Chronotropic index
bpm
Time frame: Change from Baseline at 6 months
Cardiac double product at the peak of the load
It will be calculated by multiplying systolic blood pressure and heart rate
Time frame: Change from Baseline at 6 months
Body Mass Index
Kg/m2
Time frame: Change from Baseline at 6 months
Systolic Blood Pressure
mmHg
Time frame: Change from Baseline at 6 months
Heart Rate
bpm
Time frame: Change from Baseline at 6 months
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