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Vitamin d deficiency and cardiobronchial asthma

Session Poster session 1

Speaker Naresh Sen

Event : EuroHeartCare 2016

  • Topic : heart failure
  • Sub-topic : Chronic Heart Failure
  • Session type : Poster Session

Authors : N Sen (BANGALORE,IN), SONAL Tanwar (Jaipur,IN)

Authors:
N Sen1 , SONAL Tanwar2 , 1NARAYANA HRUDAYALAYA INSTITUTE OF MEDICAL SCIENCE - BANGALORE - India , 2Rajasthan University of Health Sciences, Cardiology - Jaipur - India ,

Citation:
European Journal of Cardiovascular Nursing ( 2016 ) 15 ( Supplement ), S18

Background-Many patients they represent difficulty in breathing on effort or rest, peripheral edema, lung congestion with decresed pulmonary functions and Cardiac functions Right vantricle & Left ventricle, especially Right ventricle called as Cardiobronchial asthma.
Aims & Objectives-To study the correlation between serum vitamin D values in uncontrolled cardiobronchial asthma and to evidential improvement in control of cardiobronchial asthma (CB Asthma) after vitamin D supplementation and correlate it with lung & heart function.
Methods-serum vitamin D levels were assessed in 102 patients of cardiobronchial asthma in duration of 2 years (2012-2014) and we found very low level of vitamin D ( average level was 12 U ng/ml ) in 49 non-smoker patients of difficult to treat CB Asthma between 19 -64 years of age who were uncontrolled even after courses of steroids, diuretics and ACE inhibitors and other optimised medical therapy for comorbid conditions like Allergic rhinitis, GERD, Diabetes and Hypertension.these patients were treated with calcium and Vitamin D supplementation for 12 weeks and after were re-evaluated with repeat vitamin D levels, Pulmonary function test by spirometry and Cardiac functions by 2D Echocardiogrphy.
Results-All 49 patients showed significant improvements in Right and Left ventricular function, LVEF incresed (21±8%) and decreased Pulmonary systolic pressure (29±10%) and improves spirometry results like FEV raised (25±7%) and peal flow rate variability with significant p value (< 0.05). 19 out of 49 patients (38.7%) also revealed modest level of vitamin D levels.
Conclusion-This study showed a strong correlation between vitamin D deficiency and difficult to manage Cardiobronchial Asthma and good cardiopulmonary outcome after supplementation of Vitamin D.

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