Heart Failure, Vitamin D Deficiency
Conditions
Brief summary
The purpose of this study is to determine whether cholecalciferol supplementation in patients with chronic heart failure and low vitamin D levels improves: 1. performance at six minutes walking test 2. echocardiographic parameters 3. neurohormonal imbalance
Interventions
Standard guideline based therapy plus cholecalciferol: Loading dose 300.000 U then 50.000 U every month for six months
Standard guideline based therapy plus placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Heart failure diagnosis according to European Society of Cardiology Guideline criteria * Age \> 60 years old * 25(OH) Vitamin D level \< 30 ng/ml * Clinical and therapeutic stability for one month (NYHA class II or III)
Exclusion criteria
* Chronic use of anticonvulsants or barbiturates, steroids, thiazides, aluminium or magnesium, colestipol or cholestyramine * Glomerular filtration rate lower than 30 ml/min/1.73 m2 according to MDRD equation * Nephrolitiasis, Sarcoidosis or hypercalcemia * Recent (three months) acute coronary syndrome or stroke or major vascular surgery * Reduced life expectancy due to other diseases (active neoplasms, liver cirrhosis...)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| SIX MINUTE WALKING TEST DISTANCE | six months |
Secondary
| Measure | Time frame |
|---|---|
| ECHOCARDIOGRAPHIC PARAMETERS | six months |
| NEUROHORMONAL CHANGES | six months |
Countries
Italy