维生素D缺乏和心房动:一个横截面单中心研究
Amir Askarinejad1,2, Hooman Bakhshandeh1, Mona Heidarali1
1Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
ARYA atherosclerosis
|August 21, 2024
概括
维生素D缺乏与心房动 (AF) 患者的死亡率增加和不良结果有关. 维持足够的维生素D水平可能会改善AF患者的心脏转变成功和整体预后.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 心房动 (AF) 显著增加了中风风险.
- 维生素D在新陈代谢过程中起着至关重要的作用.
- 关于维生素D缺乏症 (VDD) 和AF结果之间的关联,研究有限.
研究的目的:
- 研究心房动患者的维生素D水平和结果之间的关系.
- 为了确定维生素D缺乏是否与AF患者的不良事件有关.
主要方法:
- 在2021年12月至2023年2月期间,研究了一组被诊断患有心房的190名患者.
- 维生素D水平在冬季 (十二月至三月) 评估,以考虑到季节性变化.
- 患者被分为维生素D缺乏,不足和充足的组.
主要成果:
- 维生素D缺乏症 (VDD) 在40.5%的AF患者中普遍存在.
- 在VDD组中,疲劳和昏迷等症状更为常见.
- 与VDD患者 (6.31%) 相比,VDD患者的死亡率高于VDD患者 (2.10%) 或VDD患者 (0.05%).
- 三血管疾病在VDD组中更常见 (p=0.04).
- 在维生素D充足 (VDS) 组 (p=0.03) 中,成功的心脏转变的发生率更高.
结论:
- 足够的维生素D水平与AF患者心脏转变成功的改善有关.
- 维生素D水平较低与心房的死亡风险增加有关.
- 维生素D状态是影响AF管理结果的潜在因素.
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