Pediyatrik Kalp Cerrahisinde D Vitamini Eksikliği

Yıl 2023, Cilt: 32 Sayı: 2, 102 - 108, 30.06.2023

Feride Karacaer

https://doi.org/10.17827/aktd.1266273

Öz

D vitamini, çoklu organ sistemlerinin düzgün çalışması için önemli bir hormondur. Konjenital kalp hastalığı olan çocuklarda D vitamini eksikliği sık görülmekte ve kardiyopulmoner baypas uygulaması serum D vitamini düzeylerinde akut düşüşle sonuçlanmaktadır. Düşük D vitamini seviyeleri, kritik hastalarda uzamış mekanik ventilasyon ve hastanede ve yoğun bakım ünitesinde yatış süresinde uzama ile ilişkili potansiyel bir risk faktörü oluşturur. Ayrıca postoperatif düşük D vitamini seviyeleri inotropik destek gereksinimini arttırmaktadır. Postoperatif D vitamini eksikliği, kardiyovasküler disfonksiyon ve klinik seyir arasında gözlenen ilişkiler, D vitamini düzeylerinin perioperatif optimizasyonunun hasta sonuçlarını iyileştirebileceğini düşündürmektedir.

Anahtar Kelimeler

D vitamini, konjenital kalp hastalığı, kardiyopulmoner baypas

Kaynakça

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