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A Study of Vitamin D and Its Correlation With Severity and Complication of Congestive Heart Failure: A Systematic
Mohammad Hazique1, Kokab Irfan Khan2, Prasana Ramesh1
1Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Insights
Vitamin D deficiency is linked to worse outcomes in heart failure patients. Supplementation may lower inflammation and improve cardiac function and quality of life.
Area of Science:
- Cardiology
- Endocrinology
- Nutritional Science
Background:
- Vitamin D plays a role in cardiovascular health and hypertension.
- Low vitamin D levels are associated with poorer outcomes in heart failure (HF) patients.
- Vitamin D deficiency is common in patients with precursor conditions like diabetes and atherosclerosis.
Purpose of the Study:
- To evaluate the association between vitamin D and congestive heart failure (CHF).
- To determine the effects of vitamin D supplementation on cardiac function and inflammatory markers in CHF patients.
Main Methods:
- Systematic review of studies published between January 2012 and December 2022.
- Searches conducted in PubMed/PMC, Medline, and Cochrane Library.
- Adherence to PRISMA 2020 guidelines, including quality appraisal of 13 retained articles (10 RCTs, 3 observational studies).
Main Results:
- Vitamin D supplementation reduced serum inflammatory markers in CHF patients.
- Vitamin D treatment improved cardiac function and inhibited ventricular remodeling.
- Supplementation enhanced the quality of life for patients with CHF.
Conclusions:
- Vitamin D supplementation shows potential benefits for patients with congestive heart failure.
- Further research is needed to clarify the role of vitamin D in improving ventricular remodeling.
- Maintaining adequate vitamin D levels may be important for managing cardiovascular health in HF patients.
Abstract:
Many studies have shown that vitamin D is a crucial modulator of hypertension and cardiovascular illness, including heart failure. Heart failure (HF) is still the leading cause of mortality worldwide. Patients with heart failure who have low vitamin D levels experience worse outcomes, which associate with known clinical correlations and biomarkers. Additionally, patients with low vitamin D levels are more likely to have diabetes, hypertension, atherosclerosis, and other precursor conditions to heart failure. There are some hints in recent experimental research on how vitamin D can have cardioprotective effects. Vitamin D supplementation might improve ventricular remodeling in heart failure patients, however, this is still unclear. It aims to evaluate the association between vitamin D and congestive heart failure (CHF). This systematic review used research from the previous ten years (January 2012-2022) retrieved from the following databases: PubMed/PMC (PubMed Central)/Medline and Cochrane Library. Using the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) 2020 guidelines, removing duplicates, screening of title and abstract, application of eligibility criteria, and quality appraisal, 13 articles were retained for systemic review. There were 10 randomized controlled trials and three observational studies. Vitamin D supplementation lowers serum inflammatory marker levels and improves the quality of life in CHF patients. Vitamin D treatment inhibits ventricular remodeling and improves cardiac function in a patient with CHF.
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