Cardiovascular Diseases, Hypovitaminosis D
Conditions
Brief summary
Prospective, monocentric study in open, aimed at evaluating the effects of supplementation with calcifediol on left ventricular function parameters in cardiopathic subjects undergoing major orthopedic surgery.
Detailed description
Population of the study: 47 cardiopathic patients with hypovitaminosis D supplemented with calcifediol to reach vitamin D levels\> 30 ng / ml within 6 months. The purpose of this study is to evaluate the improvement of the ejection fraction or GLS (global longitudinal strain) calculated by speckle tracking at 6 months in cardiopathic patients with vitamin D deficiency during functional recovery after major orthopedic surgery.
Interventions
Calcifediol will be administered at a dose of 10 drops per day (as indicated for use) for 6 months or until vitamin D levels\> 30 ng / ml are obtained. Once these values have been obtained, the dosage can be reduced to a dosage of 4/5 drops of calcifediol (1 drop contains 5mcg of calcifediol) with the aim to maintain the plasma values of 25 (OH) D in a optimal range between 30-60 ng / ml during the 6 month of the duration of the study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: \> or equal to 55 years, \< or equal to 85 years * cardiopathic patients (including hypertension) who must undergo major orthopedic surgery at our site * patients with diagnosis: hypovitaminosis d
Exclusion criteria
* presence of neoplasm * endocrinological pathologies excluding diabetes mellitus * advanced chronic renal failure (GFR \< 35 ml/min) * pregnant women * impossibility to participate to the rehabilitation protocol or to perform the established controls
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of improvement of ejection fraction (FE) | 6 months | Evaluation of improvement of ejection fraction (FE) or longitudinal strain calculated by speckle tracking at 6 months in cardiopathic patients with vitamin D deficiency who underwent supplementation with calcifediol, during functional recovery after major orthopedic surgery |
Countries
Italy