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November 12, 2024Journal of Clinical MedicineOpen Access

The Co-Existence of Hypovitaminosis D and Diabetes Mellitus Triples the Incidence of Severe Coronary Artery Disease in Women

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Authors

AAAneta AleksovaAzienda Sanitaria Universitaria Integrata di TriesteMJMilijana JanjusevicUniversity of TriesteBPBeatrice PaniUniversity of Trieste

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Implication

Cohort study reveals that vitamin D deficiency combined with diabetes triples severe coronary artery disease risk in women, highlighting synergistic cardiovascular dangers.

Key Points

  • To evaluate the sex-specific impact of hypovitaminosis D and its interplay with diabetes mellitus on coronary artery disease severity.
  • Enrolled 1,484 consecutive patients presenting with acute myocardial infarction.
  • Defined hypovitaminosis D as 25-hydroxyvitamin D ≤ 20 ng/mL and severe coronary artery disease as left main or three-vessel stenosis > 50%.
  • Women had significantly lower median vitamin D concentrations than men (15.7 ng/mL vs. 17.9 ng/mL, p = 0.01).
  • Severe coronary artery disease occurred more frequently in women with hypovitaminosis D than in those without (33% vs. 19%, p < 0.01; adjusted OR: 1.85, p = 0.01), an association not observed in men.
  • Women presenting with both hypovitaminosis D and diabetes mellitus had more than three times the odds of severe coronary artery disease compared to those with neither condition (OR: 3.56, p = 0.02).

Cite This Study

Aleksova et al. (2024) studied this question.

synapsesocial.com/papers/6a87d0674f54442d18262ff5https://doi.org/10.3390/jcm13226792
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Also Consider

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  1. 125-Hydroxyvitamin D and Risk of Myocardial Infarction in Men A Prospective Study2008 · 1,140 citations
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