Fatigue due to mild heart failure: effects of Robuvit® in a concept, pilot registry study

Minerva Cardioangiol. 2020 Jun;68(3):216-223. doi: 10.23736/S0026-4725.19.05029-1.

Abstract

Background: The aim of this supplement registry study was the evaluation of possible benefits of Robuvit® (oak wood extract) as a standardized supplement (in an 8-week registry) in stable, mild, heart failure patients.

Methods: All subjects received the standard management (SM) for this condition. Otherwise healthy subjects with mild, initial symptoms (mild shortness of breath and/or angina) and slight limitation during their normal daily activity were included. This corresponds to the New York Heart Association (NYHA) Functional Classification class II.

Results: Forty subjects were included in the study. The two groups completing 8 weeks were comparable at baseline with 20 subjects managed with SM and 20 subjects supplemented with Robuvit® in addition to SM. Tolerability and compliance were optimal (with more than 95% of the capsules correctly used). The age and symptoms of the supplemented patients and the controls were comparable at baseline. There were no dropouts. At 8 weeks, systolic-diastolic pressure, heart rate, respiratory rate were minimally (non-significantly) lowered with the supplement without differences in controls. Ultrasound-derived ejection fraction was significantly increased in the supplement group (P<0.05) while there were minimal, non-significant differences in controls. Walking distance on treadmill was also significantly increased in the supplement group (P<0.05) and significantly less in controls. The microcirculation (laser Doppler parameters and transcutaneous PO2, PCO2) improved significantly in the Robuvit® group (P<0.05) in comparison with the non-supplemented controls. Oxidative stress was significantly decreased (P<0.05) with the supplement while there were minimal, non-significant changes in controls.

Conclusions: In conclusion in this pilot, supplement registry Robuvit® seems to help and improve patients with mild heart failure and should be considered for larger studies.

MeSH terms

  • Dietary Supplements
  • Exercise Test
  • Fatigue / drug therapy*
  • Fatigue / etiology
  • Heart Failure / complications
  • Heart Failure / drug therapy*
  • Humans
  • Hydrolyzable Tannins / administration & dosage*
  • Male
  • Microcirculation / drug effects
  • Middle Aged
  • Oxidative Stress / drug effects
  • Pilot Projects
  • Plant Extracts / administration & dosage*
  • Registries
  • Stroke Volume / drug effects

Substances

  • Hydrolyzable Tannins
  • Plant Extracts
  • Robuvit