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维生素D缺乏是心力衰竭的危险因素吗?

Is Hypovitaminosis D a Risk Factor for Heart Failure?

作者信息

Hagău Asmaa Carla, Pușcaș Amalia, Togănel Rodica, Muntean Iolanda

机构信息

Doctoral School of Medicine and Pharmacy, I.O.S.U.D., George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Emergency Institute for Cardiovascular Diseases and Transplantation of Târgu Mureș, 540136 TarguMures, Romania.

Department of Biochemistry and Chemistry of Environmental Factors, Faculty of Pharmacy, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Targu Mures, 540142 Targu Mures, Romania.

出版信息

Life (Basel). 2023 Jan 29;13(2):372. doi: 10.3390/life13020372.

DOI:10.3390/life13020372
PMID:36836729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9967471/
Abstract

Several studies in recent years have shown the association between vitamin D levels and heart failure. Vitamin D deficiency is related to increased cardiovascular morbidity and mortality, with a higher risk of developing heart failure. In this systematic review, we aimed to assess recent studies that analyzed vitamin D deficiency and heart failure in adult and pediatric populations. (2) Methods: We conducted a systematic search for studies published in the following databases: PubMed and Scopus from January 2012 to October 2022. (3) Results: Most observational studies that were included found a significant association between hypovitaminosis D and heart failure. However, the beneficial role of vitamin D supplementation is still controversial due to the lack of randomized controlled trials. (4) Conclusions: Vitamin D may play an important role as a cardiovascular marker in heart failure patients. More well-designed studies are needed to investigate the relationship between vitamin D and heart failure and to determine if vitamin D supplementation could improve long-term outcomes.

摘要

近年来的多项研究表明了维生素D水平与心力衰竭之间的关联。维生素D缺乏与心血管发病率和死亡率增加相关,患心力衰竭的风险更高。在这项系统评价中,我们旨在评估近期分析成人和儿童人群中维生素D缺乏与心力衰竭的研究。(2)方法:我们对2012年1月至2022年10月在以下数据库中发表的研究进行了系统检索:PubMed和Scopus。(3)结果:纳入的大多数观察性研究发现维生素D缺乏与心力衰竭之间存在显著关联。然而,由于缺乏随机对照试验,维生素D补充剂的有益作用仍存在争议。(4)结论:维生素D可能作为心力衰竭患者的心血管标志物发挥重要作用。需要更多设计良好的研究来调查维生素D与心力衰竭之间的关系,并确定补充维生素D是否可以改善长期预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d0/9967471/a96d3ecec432/life-13-00372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d0/9967471/a96d3ecec432/life-13-00372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2d0/9967471/a96d3ecec432/life-13-00372-g001.jpg

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本文引用的文献

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Effect of vitamin supplementation in patients of congestive heart failure deficient in vitamin D: A study at a tertiary care center of North India.充血性心力衰竭合并维生素 D 缺乏患者的维生素补充效果:印度北部一家三级护理中心的研究。
Ann Afr Med. 2022 Apr-Jun;21(2):107-112. doi: 10.4103/aam.aam_70_20.
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Is vitamin D deficiency a risk factor for all-cause mortality and rehospitalization in heart failure patients?: A systematic review and meta-analysis.维生素 D 缺乏是否是心力衰竭患者全因死亡率和再住院率的危险因素?:系统评价和荟萃分析。
Medicine (Baltimore). 2022 Jul 15;101(28):e29507. doi: 10.1097/MD.0000000000029507.
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Organic Synthesis of New Secosteroids from Fucosterol, Its Intestinal Absorption by Caco-2 Cells, and Simulation of the Biological Activities of Vitamin D.从岩藻甾醇中有机合成新型甾醇,其在 Caco-2 细胞中的肠吸收,以及维生素 D 生物活性的模拟。
Mar Drugs. 2023 Oct 17;21(10):540. doi: 10.3390/md21100540.
Hypovitaminosis D and cardiovascular outcomes: A systematic review and meta-analysis.
维生素D缺乏与心血管结局:一项系统评价和荟萃分析。
Int J Cardiol Heart Vasc. 2022 Apr 11;40:101019. doi: 10.1016/j.ijcha.2022.101019. eCollection 2022 Jun.
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Association of Serum 25-Hydroxyvitamin D Concentrations With All-Cause and Cause-Specific Mortality Among Adult Patients With Existing Cardiovascular Disease.成年心血管疾病患者血清25-羟基维生素D浓度与全因死亡率和特定病因死亡率的关联
Front Nutr. 2021 Sep 23;8:740855. doi: 10.3389/fnut.2021.740855. eCollection 2021.
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Effect of vitamin D supplements on left ventricular ejection fraction in patients with heart failure: A systematic review and meta-analysis of randomized controlled trials.维生素 D 补充剂对心力衰竭患者左心室射血分数的影响:系统评价和随机对照试验的荟萃分析。
Rev Port Cardiol (Engl Ed). 2021 Jun;40(6):447-455. doi: 10.1016/j.repce.2021.07.010.
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