PMID- 28958142 OWN - NLM STAT- MEDLINE DCOM- 20171214 LR - 20180813 IS - 0393-974X (Print) IS - 0393-974X (Linking) VI - 31 IP - 3 DP - 2017 Jul-Sep TI - Serum 25-hydroxy vitamin D concentration in acute coronary syndrome. PG - 823-827 LID - 40 [pii] AB - Vitamin D may have prognostic value in cardiovascular disease (CVD) patients and, in addition to conventional biomarkers, could be a valuable tool for disease management. The aim of this study was to assess the association of vitamin D status in patients with acute coronary syndrome (ACS) and to evaluate its prognostic utility. The levels of 25(OH) vitamin D were correlated with troponin T hs. Forty-eight consecutive outpatients (40 Caucasian and 8 Asian) aged between 40 and 70 years (mean 61.5, range 43-77 years) were enrolled in the study. All patients were admitted to the Emergency Department with chest pain and suspected ACS. The main exclusion criteria were age <18 years, kidney failure, onco-haematological disease, hypo-hyperparathyroidism, hypo/hyperthyroidism, osteoporosis, treatment with bisphosphonate or 25(OH) vitamin D supplementation. Of the 48 subjects included in the study, thoracic pain symptoms were described in 12 patients with unstable angina (UA) and in 6 patients with ST elevation myocardial infarction (STEMI) and in 30 patients with non-ST-elevation myocardial infarction (NSTEMI). Low 25(OH) vitamin D levels correlated with the presence of ACS (p< 0.02) and inversely correlated with Troponin T hs (TnT hs) levels (p< 0.03). The determination of 25(OH) vitamin D levels in combination with TnT hs could improve the research for possible underlying conditions, and these should be managed meticulously according to current guidelines. FAU - Anastasi, E AU - Anastasi E AD - Department of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy FAU - Suppa, M AU - Suppa M AD - Emergency Department, "Sapienza" University of Rome, Rome, Italy-Policlinico Umberto I, Rome, Italy FAU - Viggiani, V AU - Viggiani V AD - Department of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy FAU - Tartaglione, S AU - Tartaglione S AD - Department of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy FAU - Angeloni, A AU - Angeloni A AD - Department of Molecular Medicine, "Sapienza" University of Rome, Rome, Italy FAU - Granato, T AU - Granato T AD - CNR-IBPM, National Research Council, Rome, Italy LA - eng PT - Clinical Trial PT - Journal Article PL - Italy TA - J Biol Regul Homeost Agents JT - Journal of biological regulators and homeostatic agents JID - 8809253 RN - 0 (Troponin T) RN - 1406-16-2 (Vitamin D) RN - A288AR3C9H (25-hydroxyvitamin D) SB - IM MH - Acute Coronary Syndrome/*blood MH - Adult MH - Aged MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*blood MH - Troponin T/blood MH - Vitamin D/*analogs & derivatives/blood EDAT- 2017/09/30 06:00 MHDA- 2017/12/15 06:00 CRDT- 2017/09/30 06:00 PHST- 2017/09/30 06:00 [pubmed] PHST- 2017/12/15 06:00 [medline] PHST- 2017/09/30 06:00 [entrez] AID - 40 [pii] PST - ppublish SO - J Biol Regul Homeost Agents. 2017 Jul-Sep;31(3):823-827.