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Serum NT-proBNP Levels Are Not Related to Vitamin D Status in Young Patients with Congenital Heart Defects
E Passeri1, R Rigolini2, E Costa2
1Endocrinology Unit, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.
Insights
Vitamin D deficiency is common in children with congenital heart defects (CHD). This study found no link between low vitamin D levels and cardiac strain marker NT-proBNP in these young patients.
Area of Science:
- Pediatric Cardiology
- Endocrinology
- Nutritional Science
Background:
- Vitamin D deficiency is prevalent in children and increases with age.
- Vitamin D influences cardiac function and NT-proBNP release in adults with heart failure.
Purpose of the Study:
- To determine vitamin D status in young patients with congenital heart defects (CHD).
- To investigate the association between hypovitaminosis D and NT-proBNP levels in pediatric CHD patients.
Main Methods:
- Cross-sectional study of 230 young patients with CHD.
- Assessed serum 25-hydroxyvitamin D (25OHD), parathyroid hormone (PTH), and NT-proBNP levels.
- Analyzed correlations between vitamin D status, PTH, and NT-proBNP.
Main Results:
- 55.3% of patients had vitamin D deficiency (25OHD <20 ng/mL).
- Vitamin D levels correlated inversely with age and height SDS.
- No significant correlation was found between NT-proBNP levels and 25OHD or PTH levels.
Conclusions:
- Vitamin D deficiency and hyperparathyroidism are common in young patients with CHD.
- Hypovitaminosis D and hyperparathyroidism are not associated with elevated NT-proBNP levels in this population.
Context:
Hypovitaminosis D frequently occurs in early life and increases with age. Vitamin D has been suggested to influence cardiac performance and N-terminal-pro-type B natriuretic peptide (NT-proBNP) release in adults with heart failure.
Objectives:
To assess the vitamin D status and the impact of hypovitaminosis D on circulating NT-proBNP levels in young patients with congenital heart defects (CHD).
Design And Patients:
This cross-sectional study included the assessment of serum 25-hydroxyvitamin D (25OHD), parathyroid function markers, and NT-proBNP levels in a series of 230 young in-patients (117 females, 113 males; 6.4 (4.0-9.1) years (median, interquartile range)) with CHD.
Results:
Serum 25OHD levels <20 ng/mL were detected in 55.3% of patients. Optimal 25OHD levels (>30 ng/mL) occurred in 25% of patients. Serum 25OHD levels inversely correlated with age (r = -0.169, P = 0.013) and height standard deviation score (r = -0.269, P = 0.001). After correction for age, 25OHD negatively correlated with serum PTH levels (β = -0.200, P = 0.002). PTH levels above the upper quartile (44 pg/mL) occurred in 32% of hypovitaminosis D patients. Serum NT-proBNP levels were not correlated with 25OHD and PTH levels.
Conclusions:
Half of the young CHD patients were diagnosed with 25OHD deficiency and a third of hypovitaminosis D patients experienced hyperparathyroidism. Nonetheless, serum NT-proBNP levels were not associated with hypovitaminosis D as well as hyperparathyroidism.
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