Evaluation of serum 25-hydroxyvitamin D levels in calcific rheumatic mitral stenosis— A cross sectional study

Autor: Jamal Yusuf, Jothinath P, Saibal Mukhopadhyay, Vickram Vignesh, Sanjay Tyagi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Indian Heart Journal, Vol 70, Iss 2, Pp 206-213 (2018)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2017.06.010
Popis: Background and aim of the study: Rheumatic mitral stenosis (RMS) is an autoimmune, progressive destructive valve disease occurring as a sequele of streptococcal infection. Epidemiological studies support an association of vitamin D deficiency with initial susceptibility and severity of autoimmune diseases. The aim of the present study was to assess serum level of 25 hydroxyvitamin D in subjects of RMS and assess if any correlation exists with serum levels of vitamin D and severity of disease along with calcification assessed semi-quantitatively by echocardiography by applying Wilkins score. Method: Fifty five patients of RMS without any calcification of the valves (Group A) assessed by echocardiography along with fifty five patients of RMS with mild to moderately calcified valves (Group B, Wilkins calcium score 1 or 2) and 55 patients with severely calcified valves (Group C, Wilkins calcium score 3 or 4) were enrolled for the study. All subjects underwent clinical, echocardiographic, and biochemical evaluation. The total Wilkins score, Wilkins calcium score along with serum level of 25 hydroxyvitamin D was evaluated in all the patients. Results: The median serum level of 25 hydroxyvitamin D was significantly lower in Group B (20.4 ng/ml, p
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