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维生素 D 状态与心血管疾病的关系。

The Relationship Between Vitamin D Status and Cardiovascular Diseases.

机构信息

Department of Medicine, Queen's University Belfast, School of Medicine, Belfast, UK.

Department of Paediatric Cardiac Surgery, Alder Hey Children Hospital, Liverpool, UK; Department of Cardiothoracic Surgery, Assiut University Hospital, Assiut, Egypt.

出版信息

Curr Probl Cardiol. 2021 Jul;46(7):100836. doi: 10.1016/j.cpcardiol.2021.100836. Epub 2021 Mar 19.

Abstract

With cardiovascular conditions being a leading cause of mortality and morbidity globally, several studies have identified that there is an important correlation between the level of Vitamin D and cardiovascular diseases, including an increased risk of hypertension, heart failure, and coronary artery diseases. Current published studies are in the form of both in vivo and in vitro studies and they primarily showed the evidence of how Vitamin D can downregulate Renin-Angiotensin-Aldosterone system activity and therefore providing a cardioprotective role. Nevertheless, most of these studies are observational, and there yet to be large-scale randomized controlled trials which would increase the evidence of the findings.This review aims to capture the current evidence of Vitamin D as a metabolite which is critical in reducing cardiovascular conditions and the possible physiological pathways that it works via.

摘要

心血管疾病是全球范围内导致死亡和发病的主要原因,多项研究已经确定,维生素 D 水平与心血管疾病之间存在重要关联,包括高血压、心力衰竭和冠状动脉疾病的风险增加。目前已发表的研究既有体内研究也有体外研究,它们主要展示了维生素 D 如何下调肾素-血管紧张素-醛固酮系统活性,从而提供心脏保护作用的证据。然而,这些研究大多是观察性的,还没有大规模的随机对照试验来增加这些发现的证据。本综述旨在总结维生素 D 作为一种代谢物在降低心血管疾病方面的重要作用及其可能的生理途径。

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