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Published on: February 26, 2013
The effects of vitamin D deficiency on atrial fibrillation
Mehmet Demir1, Umut Uyan, Mehmet Melek
11Department of Cardiology, Bursa Yüksek İhtisas Education and Research Hospital, Bursa, Turkey.
Insights
Vitamin D deficiency is linked to nonvalvular atrial fibrillation (AF). Patients with nonvalvular AF had lower vitamin D levels compared to those with valvular AF or healthy controls.
Area of Science:
- Cardiology
- Endocrinology
- Nutritional Science
Background:
- Vitamin D deficiency is a known risk factor for cardiovascular diseases, including hypertension and heart failure.
- Vitamin D deficiency may influence the renin-angiotensin-aldosterone system, potentially impacting cardiovascular health.
- A potential link between vitamin D deficiency and atrial fibrillation (AF) warrants investigation.
Purpose of the Study:
- To investigate the association between vitamin D levels and different types of atrial fibrillation (AF).
- To compare 25-hydroxyvitamin D (25-OHD) levels in patients with nonvalvular AF, valvular AF, and healthy controls.
Main Methods:
- A comparative study involving 102 patients with nonvalvular AF (Group I) and 96 with valvular AF (Group II).
- 100 age-matched healthy individuals in sinus rhythm served as the control group.
- Measurement of routine biochemical parameters, 25-hydroxyvitamin D (25-OHD), and parathormone levels.
Main Results:
- Patients with nonvalvular AF (Group I) exhibited significantly lower vitamin D levels (6.51 ± 4.89 ng/mL) compared to valvular AF (Group II) (9.24 ± 7.39 ng/mL) and controls (11.18 ± 6.98 ng/mL).
- Left atrium diameter and systolic pulmonary artery pressure were elevated in both nonvalvular and valvular AF groups compared to controls.
Conclusions:
- The study demonstrates a significant relationship between vitamin D deficiency and nonvalvular atrial fibrillation.
- These findings suggest vitamin D status may play a role in the pathophysiology of nonvalvular AF.
Background:
Vitamin D deficiency is associated with cardiovascular disease such as coronary artery disease, heart failure, and hypertension. Vitamin D deficiency activates the renin-angiotensin-aldosterone system, which affects the cardiovascular system. For this reason, it could be suggested that there is a relationship between vitamin D deficiency and atrial fibrillation (AF). In our study, we compared 25-hydroxyvitamin D (25-OHD) levels between nonvalvular AF, valvular AF, and control groups in sinus rhythm.
Method:
A total of 102 patients with nonvalvular chronic AF without any other cardiovascular disease (mean age 62.51 ± 5.88; group I) and 96 patients with AF, which is associated with mitral valve disease (mean age 61.51 ± 5; group II) were included in our study. Of all, 100 age-matched healthy people with sinus rhythm were accepted as control groups (mean age 61.35 ± 5.44). Routine biochemical parameters, 25-OHD and parathormone levels were performed.
Results:
Baseline characteristics of the study groups were comparable. Group I patients had a lower vitamin D level than group II and the control group (6.51 ± 4.89, 9.24 ± 7.39, and 11.18 ± 6.98 ng/mL, P < .001, respectively). In groups I and II, the patients' left atrium diameter and systolic pulmonary artery pressure are higher than the control group.
Conclusion:
As a result, our study revealed a relationship between vitamin D deficiency and nonvalvular AF.
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