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Heart 2008;94:540-541; doi:10.1136/hrt.2007.126359
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

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EDITORIALS

Vitamin D and calcium dyshomoeostasis-associated heart failure

Karl T Weber1, Robert U Simpson2, Laura D Carbone3,4

1 Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN, USA
2 Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI, USA
3 Department of Veterans Affairs Medical Center, Memphis, TN
4 Division of Connective Tissue Diseases, University of Tennessee Health Science Center, Memphis, TN, USA

Correspondence to:
Professor Karl T Weber, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, 920 Madison Ave, Suite 300, Memphis, TN 38163, USA; KTWeber@utmem.edu

The first 150 words of the full text of this article appear below.

The heart normally is an efficient physiological pump whose muscular compartment is composed of a syncytium of cardiomyocytes nourished by a coronary vasculature and housed within a scaffolding of structural proteins. The contractile properties of cardiomyocytes are governed by the direct interplay between Ca2+ and contractile proteins, actin and myosin, and their intracellular handling of Ca2+. Likewise, extracellular Ca2+ handling, or Ca2+ homoeostasis, can indirectly influence cardiomyocyte contractility. Herein, we briefly examine Ca2+ dyshomoeostasis and heart failure.


CALCIUM DYSHOMOEOSTASIS
Plasma Ca2+ concentrations are highly regulated and maintained within a narrow range. If disturbed, a series of controlling factors and feedback mechanisms are called into play. Overall Ca2+ homoeostasis relates to its dietary intake; absorption and excretion from gut and kidneys; bone storage; and the modifying influence of such calcitropic hormones as calcitriol (activated vitamin D) and parathyroid hormone (PTH).

In utero, the availability of Ca2+ for fetal growth and development, including . . . [Full text of this article]


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Hypocalcaemia and vitamin D deficiency: an important, but preventable, cause of life-threatening infant heart failure
S Maiya, I Sullivan, J Allgrove, R Yates, M Malone, C Brain, N Archer, Q Mok, P Daubeney, R Tulloh, and M Burch
Heart 2008 94: 581-584. [Abstract] [Full Text] [PDF]






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