Burke Kristine L, Jennings Ian G
Integr Med (Encinitas). 2023 Dec;22(6):30-37.
We report on 6 patients in our care who were harboring atherosclerotic plaque in the carotid arteries. This condition poses a risk of acute ischemic stroke and indicates potential atherosclerosis elsewhere in the vascular system. The plaque was revealed by routine ultrasound measurement of carotid intima-medial thickness (CIMT) defined as the distance between the lumen-intima interface and the media-adventitia interface. Recent improvements in image resolution and edge detection algorithms have resulted in improved reliability and clinical usefulness of the technology. The patients were enrolled in a systems-based functional medicine program of cardiology prevention to address root causes. The program provided personalized interventions that included drug therapy, dietary supplements, and lifestyle modification. The 6 patients followed the integrative regimen, which successfully managed existing cardiovascular symptoms and risk factors while keeping various biomarkers under control. However, they continued to exhibit carotid plaque with no improvement. A novel dietary supplement that targets endothelial glycocalyx regeneration was added to the personalized intervention programs. The supplement contains a proprietary extract of rhamnan sulfate from the green seaweed The 6 participants consumed the supplement daily, and their plaque burden was measured after 6 months using the same CIMT technology. In every case, the total plaque burden was reduced, with an average reduction in the 6 patients of 5.55 mm, which is statistically significant. Significant reductions in maximum carotid plaque thickness were also observed at the end of the 6 months. The study suggests that rhamnan sulfate from may provide a safe and effective intervention for reducing atherosclerotic plaque, and should be evaluated as an adjunct therapy for prevention and treatment of cardiovascular disease.
我们报告了6例在我们护理下的患者,他们的颈动脉存在动脉粥样硬化斑块。这种情况会引发急性缺血性中风的风险,并表明血管系统其他部位可能存在动脉粥样硬化。斑块是通过常规超声测量颈动脉内膜中层厚度(CIMT)发现的,CIMT定义为管腔内膜界面与中膜外膜界面之间的距离。图像分辨率和边缘检测算法的最新改进提高了该技术的可靠性和临床实用性。这些患者参加了基于系统的心脏病预防功能医学项目,以解决根本原因。该项目提供了个性化干预措施,包括药物治疗、膳食补充剂和生活方式改变。这6例患者遵循了综合治疗方案,成功控制了现有的心血管症状和风险因素,同时使各种生物标志物保持在可控范围内。然而,他们的颈动脉斑块仍持续存在且无改善。一种针对内皮糖萼再生的新型膳食补充剂被添加到个性化干预方案中。该补充剂含有从绿藻中提取的硫酸鼠李聚糖专有提取物。这6名参与者每天服用该补充剂,并在6个月后使用相同的CIMT技术测量他们的斑块负担。在每种情况下,总斑块负担都有所减轻,6例患者平均减轻了5.55毫米,具有统计学意义。在6个月末还观察到最大颈动脉斑块厚度显著降低。该研究表明,来自绿藻的硫酸鼠李聚糖可能为减少动脉粥样硬化斑块提供一种安全有效的干预措施,应作为心血管疾病预防和治疗的辅助疗法进行评估。