![]() ![]() ![]() In this review, we discuss recent advances and potential limitations in mechanistic and clinical evidences that are outlining the framework of interaction between vitamin D and cardiovascular risk. Hence, in the current state of knowledge, it may be too early to consider or to rule out vitamin D as a tool to either estimate or mitigate residual cardiovascular risk. Besides, methodological issues in the tests for serum levels of vitamin D may also contribute to this puzzle. In contrast to these mechanistic findings, cross-sectional, longitudinal and small clinical trials have not been consistent in demonstrating association between cardiovascular events and vitamin D. Indirectly, it may favor the reduction of blood pressure, myocardial hypertrophy and ventricular arrhythmias. Vitamin D has been directly implicated in endothelium-mediated vasodilation, anti-coagulant activity and inhibition of the inflam-matory response. Studies in vitro and in animal models demonstrated the expression of vitamin D receptors in endothelial cells, vascular smooth muscle and cardiomyocytes. ![]() From the cardiovascular point of view, clinical benefit of such supplemen-tation remains less clear. A general concept of clinical benefit of vitamin D supplementation has emerged from the evidence in prevention of osteoporosis. Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. ![]()
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