Coronary disease & ACS

Targeted vitamin D supplementation and major adverse cardiovascular events after myocardial infarction: the TARGET-D trial

Eur Heart JPublished Randomised controlled trial

Primary result · MACEResult — go to the resultHazard ratio .85 95% CI .58-1.24

Authors' conclusion

Targeted vitamin D supplementation and ongoing titration did not significantly reduce major adverse CV events.

Study context

Population
Patients with myocardial infarction (MI)
Participants
630 patients
Comparison
Targeted vitamin D3 supplementation vs usual care
Primary endpoint
MACE:
  • Death
  • MI
  • HF hospitalization
  • Stroke
Follow-up
Average 4.2 ± 2.0 years
Methodological detailspragmatic
  • Pragmatic

Primary result

MACE

Hazard ratio

.85

95% CI .58-1.24

P = 0.40

By group

Vitamin Dvs Usual care
HR .85 (95% CI .58-1.24); P = 0.40

As reported in the abstract

Secondary outcomes

Death

HR .98 · P = 0.95

MI

HR .48 · P = 0.03

HF hospitalization

HR 1.21 · P = 0.65

OutcomeVitamin DUsual careHRP value
Stroke1.6%.9%1.69P = 0.47

Baseline 25(OH)D level

25(OH)D ≤ 40 ng/mL at baseline
87.0%
Median baseline 25(OH)D 25 (IQR 18-33) ng/mL

Original publication

Targeted vitamin D supplementation and major adverse cardiovascular events after myocardial infarction: the TARGET-D trial. Eur Heart J. Published 7 September 2026. doi:10.1093/eurheartj/ehag611

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