The Role of Parathyroid Hormone and Vitamin D Serum Concentrations in Patients with Cardiovascular Diseases

Dis Markers. 2018 Jan 31:2018:5287573. doi: 10.1155/2018/5287573. eCollection 2018.

Abstract

25-hydroxyvitamin D (25(OH)D) plays a crucial role in human homeostasis. Its deficiency (vitamin D deficiency-VDD), being common in European population, combined with elevated concentration of parathyroid hormone (PTH), represents a vicious cycle of mechanisms leading to heart failure (HF). Despite several papers published in that field, the effect of VDD and PTH concentration on cardiovascular system remains unequivocal; thus, the aim of the study was to compare these data among HF and non-HF patients being prospectively enrolled into the study during hospital stay in the cardiology ward. Patients with HF had higher PTH concentration (85.0 ± 52.6 versus 64.5 ± 31.7, p ≤ 0.02) compared to non-HF patients. Mean PTH values were associated with the clinical status expressed by the New York Heart Association class (NYHA class) ("0"-66.04, "I"-56.57, "II"-72.30, "III"-85.59, and "IV"-144.37 pg/ml, p ≤ 0.00004). Interestingly, neither 25(OH)D (31.5 versus 29.7 ng/ml, p ≤ ns) nor phosphorus (P) (1.23 versus 1.18 mmol/l, p ≤ ns) nor total calcium (Ca2+) concentration (2.33 versus 2.37 mmol/l, p ≤ ns) differed among the groups. Reassuming PTH serum concentration in contrary to 25(OH)D, P and Ca2+ are significantly raised among the patients with HF and shows significant relationship with the clinical status expressed by the NYHA class.

MeSH terms

  • Aged
  • Atrial Fibrillation / blood*
  • Atrial Fibrillation / diagnosis
  • Biomarkers / blood
  • Calcium / blood
  • Cross-Sectional Studies
  • Dyslipidemias / blood*
  • Dyslipidemias / diagnosis
  • Female
  • Heart Failure / blood*
  • Heart Failure / diagnosis
  • Hospitalization
  • Humans
  • Hypertension / blood*
  • Hypertension / diagnosis
  • Male
  • Middle Aged
  • Parathyroid Hormone / blood*
  • Phosphorus / blood
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / blood*
  • Vitamin D Deficiency / diagnosis

Substances

  • Biomarkers
  • Parathyroid Hormone
  • Vitamin D
  • Phosphorus
  • 25-hydroxyvitamin D
  • Calcium