Poor brain function after cardiac arrest increased by Vitamin D deficiency.

vitamin dPoor is increased after sudden cardiac arrest by lack of . The risk of dying was also increased after sudden cardiac arrest.

The research was presented at the annual meeting of the Acute Cardiovascular Care Association (ACA) of the European Society of Cardiology.
The study consisted of analyzing clinical data from all unconscious patients resuscitated from sudden cardiac arrest of presumed cardiac cause at Severance Cardiovascular Hospital in Seoul, Korea. The Neurologic outcome was assessed by the Cerebral Performance Category (CPC) score at 6 months after discharge.1 Good neurologic outcome was defined as a CPC score of 1 or 2, whereas poor neurological outcome was defined as a CPC score of 3 to 5. was defined as 25-hydroxyvitamin D less than 10 ng/mL. The study included 53 patients. Bystander cardiopulmonary resuscitation (CPR) was performed in 41 patients (77%). The first monitored heart rhythm was shockable in 36 patients (68%) and non-shockable in 17 patients (32%). The average level was 10.3 ng/mL and 31 patients (59%) were deficient.

The reflect that patients with a poor neurological outcome had a significantly lower level (7.9 ng/mL) compared to those with a good neurological outcome (12.4 ng/mL) (p=0.002). The researchers found that 65% of patients with had a poor neurological outcome at 6 months after discharge compared to 23% of patients with healthy levels. They also found that 29% of patients with had died at 6 months compared to none of the patients with good levels (p=0.007)

“In patients resuscitated after sudden cardiac arrest, recovery of neurological function is very important, as well as survival. has been reported to be related to the risk of having various cardiovascular diseases, including sudden cardiac arrest. We investigated the association of with neurologic outcome after sudden cardiac arrest, a topic on which there is no information so far,” said Dr Jin Wi, the lead author.

increased the risk of poor neurological outcome after sudden cardiac arrest by 7-fold. The only factors that had a greater impact on poor neurological outcome were the absence of bystander CPR or having a first monitored heart rhythm that was non-shockable.” “Our findings suggest that should be avoided, especially in people with a high risk of sudden cardiac arrest. People are at higher risk if they have a personal or family history of including heart rhythm disorders, congenital heart defects and cardiac arrest. Other for cardiac arrest include smoking, obesity, diabetes, a sedentary lifestyle, and high cholesterol, and drinking too much alcohol.” “ is found in oily fish, such as salmon, , and mackerel, eggs, fortified fat spreads, fortified breakfast cereals and powdered . Most of our stores are made by the body when our skin reacts to sunlight,” said Dr Wi.

Source

European Source of Cardiology

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