Calcitriol Concentration in the Early Phase of Myocardial Infarction and Its Relation to Left Ventricular Ejection Fraction
2024

Calcitriol and Heart Function After Heart Attack

Sample size: 80 publication Evidence: moderate

Author Information

Author(s): Olędzki Szymon, Siennicka Aldona, Maciejewska-Markiewicz Dominika, Stachowska Ewa, Jakubiak Natalia, Kiedrowicz Radosław, Jakubczyk Karolina, Skonieczna-Żydecka Karolina, Gutowska Izabela, Kaźmierczak Jarosław

Primary Institution: Pomeranian Medical University in Szczecin

Hypothesis

What is the relationship between calcidiol and calcitriol serum concentration and left ventricular ejection fraction early after interventional treatment for acute coronary syndrome?

Conclusion

A low calcitriol serum concentration is associated with more severe heart function issues after a heart attack.

Supporting Evidence

  • Only 9% of patients had a proper level of 25-OHD3 in the serum.
  • Patients with left ventricle ejection fraction of <40% had significantly lower concentrations of calcidiol and calcitriol.
  • A total of 75% of patients had a concentration of 25-OHD3 lower than 20 ng/mL.
  • Low calcitriol serum concentration affects post-MI left ventricle ejection fraction early after myocardial infarction onset.

Takeaway

This study found that many heart attack patients have low vitamin D levels, which might make their heart function worse after the attack.

Methodology

The study included 80 myocardial infarction patients who had blood samples taken for vitamin D analysis after primary PCI.

Potential Biases

Potential biases may arise from the exclusion of certain patient demographics and factors not accounted for in the study.

Limitations

The study did not measure several important factors that could influence MI and vitamin D status, such as blood pressure and complete blood count.

Participant Demographics

The study included 80 patients, 22 women and 58 men, diagnosed with myocardial infarction.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/metabo14120686

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