Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Biochemistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2021 Mar 31;59(235):225-230. doi: 10.31729/jnma.5166.
Vitamin D deficiency is an emerging risk factor for cardiovascular diseases. Very few studies have been done to find out vitamin D deficiency status among cardiovascular patients in Nepalese setup. This research aims to find out the prevalence of vitamin D deficiency among patients of acute coronary syndrome admitted in a tertiary care center of eastern Nepal.
This was a descriptive cross-sectional study conducted among patients of acute coronary syndrome admitted in a tertiary care hospital from 1st February 2018 to 31st July 2018. Ethical clearence was taken from Institutional Review Committee of B.P. Koirala Institute of Health Sciences (Reference number: 259/074/075-IRC). Convenience sampling method was used. Data was entered in Microsoft Excel and analyzed using Statistical Package for the Social Sciences version 25. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
A total of 33 (64.7%) at 95% Confidence Interval (51.58-77.82) patients of acute coronary syndrome had vitamin D deficiency in our study with 19 (37.3%) having mild deficiency and 14 (27.4%) having moderate deficiency. None of the patients had severe vitamin D deficiency in our study. The mean vitamin D levels were lower in diabetics (23.57±9.28ng/ml) as compared to non-diabetics (31.91±12.50ng/ml), in hypertensive patients (24.36±7.67ng/ml) as compared to non-hypertensive patients (30.97±13.72ng/ml), and in patients with dyslipidemia (22.86±6.44ng/ml) as compared to those without dyslipidemia (37.68±13.15ng/ml).
Prevalence of vitamin D deficiency among patients of acute coronary syndrome in our study was comparable to various other homologous international studies.
维生素 D 缺乏是心血管疾病的一个新出现的危险因素。在尼泊尔的医疗环境下,很少有研究来确定心血管疾病患者的维生素 D 缺乏状况。本研究旨在调查尼泊尔东部一家三级保健中心急性冠脉综合征患者的维生素 D 缺乏患病率。
这是一项在 2018 年 2 月 1 日至 7 月 31 日期间入住一家三级医院的急性冠脉综合征患者中进行的描述性横断面研究。本研究已获得 B.P. Koirala 健康科学研究所机构审查委员会的伦理批准(参考号:259/074/075-IRC)。采用便利抽样法。数据录入 Microsoft Excel 并使用 Statistical Package for the Social Sciences 版本 25 进行分析。计算了 95%置信区间的点估计值,以及二分类数据的频率和比例。
在本研究中,共有 33 名(64.7%)急性冠脉综合征患者存在维生素 D 缺乏,95%置信区间为(51.58-77.82),其中 19 名(37.3%)患者存在轻度缺乏,14 名(27.4%)患者存在中度缺乏。在本研究中,没有患者存在严重的维生素 D 缺乏。与非糖尿病患者(31.91±12.50ng/ml)相比,糖尿病患者(23.57±9.28ng/ml)的维生素 D 水平较低;与非高血压患者(30.97±13.72ng/ml)相比,高血压患者(24.36±7.67ng/ml)的维生素 D 水平较低;与无血脂异常患者(37.68±13.15ng/ml)相比,血脂异常患者(22.86±6.44ng/ml)的维生素 D 水平较低。
本研究中急性冠脉综合征患者的维生素 D 缺乏患病率与其他类似的国际研究相当。