Navigation Links
Heart Failure Raises Risk of Fractures
Date:10/20/2008

Researchers say finding calls for better osteoporosis screening, treatment in these patients

MONDAY, Oct. 20 (HealthDay News) -- People with heart failure face a higher risk of fractures, particularly of potentially crippling breaks in the hip bones, new Canadian research finds.

The study of more than 16,000 heart disease patients treated at emergency rooms in the province of Alberta found a more than fourfold higher incidence of fractures among the 2,000 of them with heart failure. The report is in the Nov. 4 issue of Circulation.

Overall, 4.6 percent of those with heart failure, the progressive loss of the heart's ability to pump blood, had broken bones in the year after the emergency room visit, compared to only 1 percent of people with other heart conditions. The one-year rate for hip fractures was 1.3 percent for those with heart failure, compared to 0.1 percent of those with other heart conditions.

While a 1997 study found a hint of low bone density among people getting heart transplants because of heart failure, "this is the first large-scale study of heart failure and fracture rate," said study author Dr. Justin A. Ezekowitz, director of the Heart Function Clinic at the University of Alberta, in Edmonton.

The finding has several important implications for people with heart failure and the doctors who treat them, Ezekowitz said. The higher incidence of hip fractures is especially worrying, he said, since, "they can be seriously debilitating for older folks, increasing the risk of blood clots to the legs and development of pneumonia."

"First, we need appropriate treatment of osteoporosis for patients with heart failure," Ezekowitz said. "Second, we need to encourage heart failure patients to maintain exercise and good nutrition."

Osteoporosis is loss of bone mass that increases the risk of fracture. Exercise and proper dieting are recommended to help prevent the condition.

It's not clear why heart failure should lead to weaker bones, Ezekowitz said. One theory is that the diuretic drugs often prescribed for people with heart failure might be bad for the bones, he said. Another possibility is the higher level of parathyroid hormone, which handles calcium and magnesium, often seen in heart failure could have a bone-weakening effect.

Physicians treating people for heart failure need to be more aware of the risk of fractures, said Dr. Mariell L. Jessup, director of the heart failure and transplant program at the University of Pennsylvania and a spokeswoman for the American Heart Association.

"When patients have such a severe disease, we tend to ignore the other problems they might have," Jessup said. "There is good reason to focus on the total patient, and not just their heart failure."

Awareness of the vitamin D status of someone with heart failure is important, both Jessup and Ezekowitz said. Vitamin D is directly involved in bone strength. But both expressed doubts about using vitamin D supplements specifically for heart failure patients.

"People should be on vitamin D supplements according to the guidelines for osteoporosis care," Ezekowitz said. "There haven't been a lot of clinical trials testing vitamin D supplements in heart failure patients."

Asked about vitamin D, Jessup said, "I treat heart disease. I leave that question to the endocrinologists."

More information

Heart failure is described by the American Heart Association.



SOURCES: Justin A. Ezekowitz, director, Heart Function Clinic, assistant professor, medicine, University of Alberta, Edmonton, Canada; Mariell L. Jessup, professor, medicine, and director, heart failure and transplant program, University of Pennsylvania, Philadelphia; Nov. 4, 2008, Circulation


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Huston Street Joins Mended Hearts with an Important Heart Health Message: Get Your Flu Shot!
2. University of Ottawa Heart Institute Trial Finds Popular Blood Clotting Drug Does Not Improve Patient Outcomes and Increases Risk of Bleeding
3. Randy Jackson and the American Heart Association Encourage New York City Residents to Get in the K.N.O.W. About Improving Type 2 Diabetes Management
4. Vioxxs Heart Risk Lingered Long After Use Ended
5. Hospital-based smoking cessation program after heart attack adds to success
6. Little-Known Fat Can Be a Heartbreaker
7. Blood Cell Genes May Signal Heart Disease
8. Touchstone Health Partners with the American Heart Association and American Stroke Association to Fight Cardiovascular Disease Among Seniors
9. Florida study finds barriers to angioplasty for life-threatening heart attacks
10. Northwestern Memorial trials implantable device to manage congestive heart failure symptoms
11. "PEACE of Heart" Campaign Comes to Metro Washington to Help Fight Heart Disease Epidemic among Minorities : Hallmark of Campaign's Health Screening Events Is Personalized Follow-Up
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Heart Failure Raises Risk of Fractures
(Date:3/24/2017)... ... March 24, 2017 , ... As the standards ... a communications platform that positions them as the go-to thought leader in all ... online publication as an always-on, always-fresh news, views and advocacy engine, called ONS ...
(Date:3/24/2017)... Miami, FL (PRWEB) , ... March 24, 2017 ... ... HyGIeaCare Inc. ( http://www.hygieacare.com ) announced their partnership to prep patients for colonoscopy ... Health Endoscopy Centers in 87th Ave., Miami, FL. , The ...
(Date:3/24/2017)... ... ... “Vintage and Harvest A Cultivation of Christian Love” is the creation of ... Carolina with his wife, Anna Marie. He and his wife are the proud parents ... the author of “Shadow and Substance.” , “Love, the agape kind, is seen as ...
(Date:3/23/2017)... ... March 23, 2017 , ... The physicians of KSF Orthopaedic Center PA are ... The new location is located at 2255 E. Mossy Oaks Rd., Suite 440, Spring, ... location will provide patients living in the north Houston area (The Woodlands, Conroe, Magnolia, ...
(Date:3/23/2017)... Ontario (PRWEB) , ... March 23, 2017 , ... The MBI “Hall of Fame” recognizes ... whose acts have had a significant impact on the careers of all others involved. ... NRB Inc. was inducted into the MBI’s Hall of Fame. The induction took place ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... DUBLIN , Mar. 24, 2017 ... "Pain Management in the U.S.: Consumer Strategies" report to ... ... on how adults approach and treat their physical pain, emphasizing ... two distinct groups: pain sufferers and adults who have selected ...
(Date:3/24/2017)... 2017   The Accreditation Council for Medical ... in the pharmaceutical industry has appointed Dr. ... newly formed scientific advisory board. Dr. Chin will ... first ever medical affairs think tank within the ... the ACMA, please visit  www.medicalaffairsspecialist.org .  Connect ...
(Date:3/24/2017)... YORK , March 24, 2017 ... ... a leading publisher of cannabis market research, the legal cannabis ... percent CAGR through 2021, despite conflicting signals from the current ... points out that the two biggest drivers of growth in ...
Breaking Medicine Technology: