The relationship between vitamin D deficiency and thoracic aortic dilatation

M Demir1, U Uyan, M Melek

  • 1Department of Cardiology, Bursa Yüksek İhtisas Education and Research Hospital, Bursa, Turkey. drmehmetmd@gmail.com

Insights

Vitamin D deficiency is linked to thoracic aortic dilatation (TAD). Lower vitamin D levels and higher parathormone (PTH) levels were observed in TAD patients, indicating a significant association.

Area of Science:

  • Cardiology
  • Endocrinology
  • Vascular Biology

Background:

  • Vitamin D deficiency is implicated in cardiovascular diseases like hypertension and heart failure.
  • It can activate the renin-angiotensin-aldosterone system, impacting cardiovascular health.
  • A potential link between vitamin D deficiency and thoracic aortic dilatation (TAD) warrants investigation.

Purpose of the Study:

  • To investigate the association between 25-OH vitamin D levels and thoracic aortic dilatation (TAD).
  • To compare vitamin D and parathormone (PTH) levels in patients with and without TAD.

Main Methods:

  • The study included 87 patients with TAD and 93 controls, aged 40-70.
  • Transthoracic echocardiography was performed, and 25-OH vitamin D and PTH levels were measured.
  • Logistic regression analysis identified independent predictors of TAD.

Main Results:

  • Patients with TAD had significantly higher PTH levels (94.87 ± 44.96 pg/ml) compared to controls (66.39 ± 30.58 pg/ml).
  • TAD patients exhibited lower 25-OH vitamin D levels (11.89 ± 7.54 ng/ml) than controls (15.98 ± 4.98 ng/ml).
  • Both PTH and 25-OH vitamin D levels were found to be independent predictors of TAD.

Conclusions:

  • Vitamin D deficiency is an independent factor associated with thoracic aortic dilatation (TAD).
  • The findings suggest a role for vitamin D status in the pathogenesis of TAD.
Abstract

Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...