Predictive value of 25-hydroxyvitamin D level in patients with coronary artery disease: A meta-analysis

Hailing Zhang1, Pei Wang2, Yu Jie2

  • 1Center of Clinical Medical Research, The Affiliated Suqian First People's Hospital of Xuzhou Medical University, Suqian, China.

Frontiers in Nutrition
|August 29, 2022
PubMed

Insights

Low vitamin D levels in coronary artery disease (CAD) patients may predict adverse outcomes, including mortality and major adverse cardiovascular events (MACEs). This finding suggests vitamin D status is a valuable indicator in CAD patient management.

Area of Science:

  • Cardiology
  • Endocrinology
  • Nutritional Science

Background:

  • The predictive value of blood vitamin D levels in patients with coronary artery disease (CAD) remains debated.
  • This meta-analysis investigates the association between 25-hydroxyvitamin D levels and adverse outcomes in CAD patients.

Approach:

  • A systematic literature search was conducted on PubMed and Embase databases up to June 28, 2022.
  • Included were cohort studies and post-hoc analyses of randomized trials assessing 25-hydroxyvitamin D's predictive value for cardiovascular mortality, all-cause mortality, and major adverse cardiovascular events (MACEs).

Key Points:

  • The analysis encompassed 13 studies with 17,892 CAD patients.
  • Meta-analysis revealed significantly increased risks for all-cause mortality (RR 1.60), cardiovascular mortality (RR 1.48), and MACEs (RR 1.33) in patients with lower vitamin D levels.
  • Sensitivity analyses confirmed the reliability of these predictive values.

Conclusions:

  • Low blood 25-hydroxyvitamin D levels are potentially independent predictors of mortality and MACEs in CAD patients.
  • Baseline vitamin D status may offer valuable prognostic information for individuals with coronary artery disease.
Abstract

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