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Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level

Received: 25 July 2020    Accepted: 5 August 2020    Published: 13 August 2020
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Abstract

Objectives: We aimed to investigate the association of major cardiovascular risk factors and the severity of coronary artery disease (CAD) with vitamin D level. Background: Numerous efforts have been made to reduce cardiovascular morbidity and mortality, especially in acute coronary syndrome (ACS). However, results are still not optimal. Much consideration is set on the revelation of new, conceivably modifiable cardiovascular risk factors. Vitamin D deficiency is proposed to be one such factor, and it might be related to an increased risk of cardiovascular diseases. Methods: We conducted a cross-section study on 475 patients undergoing elective coronary angiography, the participants were subjected to assessment of vitamin D level and major cardiovascular risk factors. The severity of CAD was assessed using the gensini score. Results: There were 352 (74.11%) patients, had a significant CAD. We found that vitamin D level had a significant negative correlation with the gensini score while diabetes and dyslipidemia had a significant positive correlation. The multivariate regression analysis showed that, vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS (p-value <0.05), were statistically significant predictors of a significant CAD. There were 184 (38.74%) patients, had vitamin D deficiency. Also, we found that diabetes and dyslipidemia had a significant negative correlation with vitamin D level. The multivariate regression analysis showed that diabetes and dyslipidemia were statistically significantly associated with low vitamin D levels (p-value 0.005 and 0.024 respectively). Conclusions: Vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS were statistically significant associated with severe CAD. Also, diabetes and dyslipidemia were statistically significant associated with vitamin D deficiency.

Published in Cardiology and Cardiovascular Research (Volume 4, Issue 3)
DOI 10.11648/j.ccr.20200403.17
Page(s) 119-126
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

CAD, Cardiovascular Risk Factors, Gensini Score, Vitamin D Level

References
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Cite This Article
  • APA Style

    Ahmed Hussein, Sherif Abdelaziz Sayed, Mohammad Shafiq Awad. (2020). Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level. Cardiology and Cardiovascular Research, 4(3), 119-126. https://doi.org/10.11648/j.ccr.20200403.17

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    ACS Style

    Ahmed Hussein; Sherif Abdelaziz Sayed; Mohammad Shafiq Awad. Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level. Cardiol. Cardiovasc. Res. 2020, 4(3), 119-126. doi: 10.11648/j.ccr.20200403.17

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    AMA Style

    Ahmed Hussein, Sherif Abdelaziz Sayed, Mohammad Shafiq Awad. Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level. Cardiol Cardiovasc Res. 2020;4(3):119-126. doi: 10.11648/j.ccr.20200403.17

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  • @article{10.11648/j.ccr.20200403.17,
      author = {Ahmed Hussein and Sherif Abdelaziz Sayed and Mohammad Shafiq Awad},
      title = {Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level},
      journal = {Cardiology and Cardiovascular Research},
      volume = {4},
      number = {3},
      pages = {119-126},
      doi = {10.11648/j.ccr.20200403.17},
      url = {https://doi.org/10.11648/j.ccr.20200403.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200403.17},
      abstract = {Objectives: We aimed to investigate the association of major cardiovascular risk factors and the severity of coronary artery disease (CAD) with vitamin D level. Background: Numerous efforts have been made to reduce cardiovascular morbidity and mortality, especially in acute coronary syndrome (ACS). However, results are still not optimal. Much consideration is set on the revelation of new, conceivably modifiable cardiovascular risk factors. Vitamin D deficiency is proposed to be one such factor, and it might be related to an increased risk of cardiovascular diseases. Methods: We conducted a cross-section study on 475 patients undergoing elective coronary angiography, the participants were subjected to assessment of vitamin D level and major cardiovascular risk factors. The severity of CAD was assessed using the gensini score. Results: There were 352 (74.11%) patients, had a significant CAD. We found that vitamin D level had a significant negative correlation with the gensini score while diabetes and dyslipidemia had a significant positive correlation. The multivariate regression analysis showed that, vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS (p-value <0.05), were statistically significant predictors of a significant CAD. There were 184 (38.74%) patients, had vitamin D deficiency. Also, we found that diabetes and dyslipidemia had a significant negative correlation with vitamin D level. The multivariate regression analysis showed that diabetes and dyslipidemia were statistically significantly associated with low vitamin D levels (p-value 0.005 and 0.024 respectively). Conclusions: Vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS were statistically significant associated with severe CAD. Also, diabetes and dyslipidemia were statistically significant associated with vitamin D deficiency.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Association of Major Cardiovascular Risk Factors and the Severity of Coronary Artery Disease with Vitamin D Level
    AU  - Ahmed Hussein
    AU  - Sherif Abdelaziz Sayed
    AU  - Mohammad Shafiq Awad
    Y1  - 2020/08/13
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ccr.20200403.17
    DO  - 10.11648/j.ccr.20200403.17
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 119
    EP  - 126
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20200403.17
    AB  - Objectives: We aimed to investigate the association of major cardiovascular risk factors and the severity of coronary artery disease (CAD) with vitamin D level. Background: Numerous efforts have been made to reduce cardiovascular morbidity and mortality, especially in acute coronary syndrome (ACS). However, results are still not optimal. Much consideration is set on the revelation of new, conceivably modifiable cardiovascular risk factors. Vitamin D deficiency is proposed to be one such factor, and it might be related to an increased risk of cardiovascular diseases. Methods: We conducted a cross-section study on 475 patients undergoing elective coronary angiography, the participants were subjected to assessment of vitamin D level and major cardiovascular risk factors. The severity of CAD was assessed using the gensini score. Results: There were 352 (74.11%) patients, had a significant CAD. We found that vitamin D level had a significant negative correlation with the gensini score while diabetes and dyslipidemia had a significant positive correlation. The multivariate regression analysis showed that, vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS (p-value <0.05), were statistically significant predictors of a significant CAD. There were 184 (38.74%) patients, had vitamin D deficiency. Also, we found that diabetes and dyslipidemia had a significant negative correlation with vitamin D level. The multivariate regression analysis showed that diabetes and dyslipidemia were statistically significantly associated with low vitamin D levels (p-value 0.005 and 0.024 respectively). Conclusions: Vitamin D deficiency, diabetes, dyslipidemia, higher BMI, and ACS were statistically significant associated with severe CAD. Also, diabetes and dyslipidemia were statistically significant associated with vitamin D deficiency.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Internal Medicine, Faculty of Medicine, Sohag University, Sohag, Egypt

  • Department of Clinical Pathology, Faculty of Medicine, Sohag University, Sohag, Egypt

  • Department of Cardiology, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt

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