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Published on: December 9, 2015
Vitamin D and cardiovascular disease
Carrie W Nemerovski1, Michael P Dorsch, Robert U Simpson
1Department of Pharmacy Services, University of Michigan Health System, Ann Arbor, Michigan, USA.
Vitamin D, or calcitriol, influences cardiovascular health by affecting cardiac muscle and regulating key systems. Vitamin D deficiency is linked to heart disease, but supplementation needs more research.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Nutritional Science
Background:
- 1,25-dihydroxyvitamin D (calcitriol) impacts more than calcium homeostasis, influencing cardiovascular health.
- Experimental data suggest calcitriol affects cardiac muscle, parathyroid hormone secretion, the renin-angiotensin-aldosterone system, and immune function.
- Vitamin D deficiency is associated with hypertension, vascular diseases, and heart failure.
Purpose of the Study:
- To review the literature on the relationship between vitamin D and cardiovascular disease.
- To assess the impact of vitamin D on hypertension and heart failure.
Main Methods:
- A MEDLINE search of English-language literature from 1950-2008 was conducted.
- Additional citations were gathered from retrieved articles.
Main Results:
- Vitamin D treatment lowered blood pressure in hypertensive patients.
- Vitamin D modified cytokine profiles in heart failure patients.
- Serum 25-hydroxyvitamin D levels below 20 ng/ml indicate deficiency; levels above 30 ng/ml are optimal.
Conclusions:
- Observational data robustly link vitamin D status to cardiovascular disease.
- Vitamin D supplementation is not routinely recommended for heart disease without further randomized trials.
- Supplementation may benefit cardiovascular health in specific patients and is often indicated for other reasons.
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