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:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... PawPaws ... a new product that was developed to enhance the health of felines. The formula ... , The two main herbs in the PawPaws Cat Kidney Support Supplement ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health ... of their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards ... at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out ... family verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers ... would throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business ... to $12 an hour by 2020 and then adjusting it yearly to increase at the ... minimum wage, assure the wage floor does not erode again, and make future increases more ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Consumers have taken a more ... placed more emphasis on patient outcomes. ... in the pharmaceutical industry have evolved beyond just ... companies are focusing on becoming more patient-oriented across ... and services that improve health. ...
(Date:6/24/2016)... 24, 2016   Bay Area Lyme Foundation ... Dean Center for Tick Borne Illness , Harvard ... MIT Hacking Medicine, University of California, Berkeley, and ... the five finalists of Lyme Innovation , ... than 100 scientists, clinicians, researchers, entrepreneurs, and investors ...
(Date:6/24/2016)... The Academy of Managed Care Pharmacy (AMCP) ... would allow biopharmaceutical companies to more easily share health ... and coverage decisions, a move that addresses the growing ... The recommendations address restrictions in the sharing of ... label, a prohibition that hinders decision makers from accessing ...
Breaking Medicine Technology: