Relationship between vitamin D deficiency and thrombus load in patients with ST-elevation myocardial infarction

B Uguz1, S Oztas, I Zengin

  • 1Department of Cardiology, Bursa City Hospital, Bursa, Turkey. alpkarakus06@gmail.com.

Insights

Low vitamin D levels are linked to increased coronary thrombus burden in ST-elevated myocardial infarction (STEMI) patients. This suggests vitamin D deficiency is an independent predictor of severe thrombus load and poorer outcomes after intervention.

Area of Science:

  • Cardiology
  • Endocrinology
  • Vascular Biology

Background:

  • Clinical observations suggest a link between vitamin D deficiency and thrombotic events.
  • The relationship between vitamin D status and coronary thrombosis requires further investigation.

Purpose of the Study:

  • To evaluate the association between serum vitamin D levels and coronary thrombus burden in patients with ST-elevated myocardial infarction (STEMI).

Main Methods:

  • Retrospective analysis of 77 STEMI patients.
  • Measurement of serum vitamin D, coronary thrombus load, TIMI frame count, and atherosclerosis extent.
  • Patients categorized into mild and severe thrombus load groups.

Main Results:

  • High prevalence of vitamin D deficiency (79.22%).
  • Lower vitamin D levels correlated with higher thrombus burden and Gensini scores.
  • Significant negative correlations found between vitamin D levels and thrombus burden, and TIMI frame counts.

Conclusions:

  • Low serum 25(OH)D3 levels are an independent predictor of high coronary artery thrombus load in STEMI patients.
  • Vitamin D deficiency is associated with increased post-procedural TIMI frame count increase.
  • Findings highlight the importance of vitamin D status in STEMI management.
Abstract

Related Concept Videos

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
28
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
20
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
29
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
13
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
24
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants01:18

Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants

Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.3K