Effect of vitamin D on postoperative atrial fibrillation in patients undergoing coronary artery bypass grafting: a systematic review and meta-analysis

  • 0Department of Medicine, Fatima Jinnah Medical University, Lahore, Pakistan - farwanisa5@gmail.com.

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Summary

This summary is machine-generated.

Vitamin D supplementation significantly reduces the incidence of postoperative atrial fibrillation (POAF) in patients undergoing coronary artery bypass grafting (CABG). This meta-analysis found no significant impact on hospital stay duration.

Area Of Science

  • Cardiology
  • Endocrinology
  • Clinical Trials

Background

  • Postoperative atrial fibrillation (POAF) is a common complication following coronary artery bypass grafting (CABG).
  • Vitamin D's anti-inflammatory and cardioprotective properties suggest a potential role in preventing POAF.

Purpose Of The Study

  • To evaluate the efficacy of vitamin D supplementation in reducing the incidence of POAF in patients undergoing CABG.

Main Methods

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted.
  • Searches were performed in PubMed and Cochrane Central Register of Controlled Trials up to May 2023.
  • Four RCTs involving 694 patients were included in the final analysis.

Main Results

  • Vitamin D supplementation significantly decreased the incidence of POAF in CABG patients (RR: 0.55; P=0.0003).
  • No significant reduction in hospital length of stay was observed with vitamin D administration (WMD: -0.14; P=0.68).
  • The heterogeneity among studies for POAF incidence was low (I²=1%).

Conclusions

  • Vitamin D supplementation is effective in reducing POAF incidence in CABG patients.
  • Further large-scale studies are warranted to investigate diverse populations and broader outcomes.

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