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Decreased left ventricular (LV) function is associated with hip-fractures

Sofie Jansen1, Rudolph W Koster2, Frederik J de Lange2

  • 1Department of Medicine, Section of Geriatric Medicine, Academical Medical Center, Amsterdam, The Netherlands.

Archives of Gerontology and Geriatrics
|December 3, 2014
PubMed

Insights

Decreased left ventricular (LV) systolic function is linked to an increased risk of hip fractures in older adults. This finding suggests that cardiac abnormalities may be an underappreciated factor contributing to falls and subsequent injuries.

Area of Science:

  • Cardiology
  • Geriatrics
  • Orthopedics

Background:

  • Falls and hip fractures are common in older adults.
  • Structural cardiac abnormalities are a potential, modifiable risk factor for falls.
  • The association between cardiac abnormalities and hip fractures requires further investigation.

Purpose of the Study:

  • To determine the association between echocardiographic abnormalities and hip fractures.
  • To investigate if cardiac function is a modifiable risk factor for recurrent falls.

Main Methods:

  • A case-control study was conducted with patients undergoing hip surgery.
  • Cases included patients with traumatic hip fractures, controls had planned hip surgery.
  • Echocardiograms were analyzed for abnormalities, including left ventricular (LV) function.

Main Results:

  • 197 patients (141 cases) were included, mean age 77 years.
  • Decreased LV systolic function was significantly associated with hip fractures (OR 3.2).
  • Increasing severity of LV dysfunction showed a trend towards higher hip fracture risk.

Conclusions:

  • Patients with traumatic hip fractures exhibit a higher risk of decreased LV function.
  • Decreased LV function may be an underestimated risk factor for injurious falls.
  • Further research is warranted to explore cardiac function as a modifiable risk factor for falls.
Abstract

Keywords:
Cardiac abnormalitiesEchocardiographyFallsHip-fractureLV function

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