Relationship of Vitamin D Deficiency to Echocardiographic Findings in Veterans
|Hetvi Joshi1, Pablo Lopez1, Beth Bailey2, Costy Mattar3, Todd Manning4 and Alan Peiris5*|
|1East Tennessee State University, Department of Internal Medicine, USA|
|2East Tennessee State University, Department of Family Medicine, USA|
|3Division of Cardiology, Mountain Home Veterans Affairs Medical Center, USA|
|4Mountain Home Veterans Affairs Medical Center, USA|
|5Division of Endocrinology, Mountain Home Veterans Affairs Medical Center, USA|
|Corresponding Author :||Alan Peiris
Division of Endocrinology
Mountain Home Veterans Affairs Medical Center
Medicine Service-111, Mountain Home
TN 37684, USA
E-mail: [email protected]
|Received April 12, 2012; Accepted May 21, 2012; Published May 23, 2012|
|Citation: Joshi H, Lopez P, Bailey B, Mattar C, Manning T, et al. (2012) Relationship of Vitamin D Deficiency to Echocardiographic Findings in Veterans. J Clin Exp Cardiolog S3:005 doi:10.4172/2155-9880.S3-005|
|Copyright: © 2012 Joshi H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Objectives: Vitamin D deficiency has reached epidemic levels and has been frequently found in United States veterans. This deficiency has been linked to cardiovascular disease; however few studies have examined the relationship of vitamin D status to cardiac sonography. The purpose of the current study was to examine the relationship between vitamin D and echocardiography findings.
Design: Retrospective chart review.
Setting: Veterans administration hospital in the Southeastern United States. Participants: Thirty two eligible patients were included.
Measurements: Charts were reviewed for key variables of interest, and patients with coronary artery disease and without vitamin D testing were excluded.
Results: Several of the echocardiogram parameters were significantly associated with vitamin D level and status. Those with mitral regurgitation were more than twice as likely as remaining patients to be vitamin D deficient, as were those with pulmonary hypertension. In addition, patients with aortic sclerosis were almost twice as likely to be vitamin D deficient compared with patients who were negative. Conclusion: Pending additional studies to confirm the cardiac benefits of a vitamin D repletes state, we urge clinicians to monitor and appropriately treat vitamin D deficiency. The benefits of maintaining adequate vitamin D reserves combined with the low potential for toxicity with modest vitamin D supplementation provides clinicians with a door to improving wellbeing and possibly ameliorating cardiac valvular disease.