SAMEH HADJ TAIEB

Dr. SAMEH HADJ TAIEB

orcid

Research Focus & Metrics

Academic Career Length

2Years (2025-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
3 March 2025 in Global Cardiology Science and Practice
Verified
Journal Article
Open access
PDF file
FZFathia Mghaieth Zghal
Fathia Mghaieth Zghal
BHBassem Hammami
Bassem Hammami
SJSyrine Ben Jeddou
Syrine Ben Jeddou
SBSelim Boudiche
Selim Boudiche
MHManel Ben Halima
Manel Ben Halima
SMSami Mourali
Sami Mourali
Background: Hypovitaminosis D and hyperreninemia are associated with poor prognosis in patients with chronic heart failure (CHF). We aimed to evaluate the effect of vitamin D (VitD) supplementation on the renin-angiotensin-aldosterone system (RAAS) in CHF patients with reduced left ventricular ejection fraction (HFrEF). Methods: A double-blind placebo-controlled randomized clinical trial was conducted in HFrEF patients. Patients were randomized to receive two doses of 200,000 IU VitD3 (VitD group) or saline solution (placebo group) at a two-week interval. Plasma 25-hydroxyvitamin D and renin concentrations were assessed at baseline and one month after the first dose. The primary outcome was plasma renin change. The study was registered at the Pan African Clinical Trials Registry as PACTR201908774181973. Results: Forty patients in each group completed the trial. At baseline, hypovitaminosis D and hyperreninemia were found in 85% and 77.5% of patients, respectively, with no differences between VitD and placebo groups. VitD supplementation resulted in an increase in 25-hydroxyvitamin D in the VitD group, only. In parallel, plasma renin decreased in the VitD group [renin change: median (25th percentile; 75th percentile), -34.9 (-110; -7.1)], but did not change in the placebo group [1.35 (-1.2; 8.8)]. No significant changes were found for clinical, echocardiographic, and other biochemical parameters in both groups. Conclusions: A mega-dose of vitamin D resulted in middle-term RAAS suppression but didn’t affect cardiac function and clinical features in HFrEF patients. Further research with longer follow-ups is needed to evaluate whether persistent adequate VitD status results in long-term RAAS suppression and cardiac function improvement.