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Correlations between 10-year risk of death from cardiovascular diseases
Anna Kawińska-Hamala1, Andrzej Kawiński, Krzysztof Stanek
1Clinic of Electrocardiology, Medical University of Lodz, Poland. anna_kaw@wp.pl.
Insights
The 10-year risk of fatal cardiovascular disease (CVD) is linked to osteoporosis and fracture risk. This finding can help identify elderly patients needing enhanced cardiac care protocols.
Area of Science:
- Gerontology
- Cardiology
- Osteoporosis Research
Background:
- Osteoporosis and cardiovascular diseases (CVD) are prevalent in the elderly.
- Both conditions share common risk factors.
- Identifying correlations can improve patient management.
Purpose of the Study:
- To evaluate the correlation between 10-year risk of death from CVD and 10-year bone fracture risk (FRAX).
Main Methods:
- 79 patients (50-83 years) with and without osteoporosis were analyzed.
- Bone mineral density (BMD) was assessed using densitometry.
- Cardiovascular risk (Euro Heart Score - EHS) and fracture risk (FRAX) were calculated.
Main Results:
- Patients with osteoporosis had a higher average EHS.
- EHS correlated negatively with BMD (Neck, Total Hip, L2-L4 T-scores).
- EHS positively correlated with major osteoporotic fracture risk (MOFR) and hip fracture risk (HFR).
Conclusions:
- A significant correlation exists between 10-year fatal CVD risk and osteoporosis.
- The 10-year risk of osteoporotic fractures is also linked to CVD risk.
- These findings aid in identifying patients for extended cardiotherapy.
Introduction:
Osteoporosis and cardiovascular diseases (CVD) are more common in the elderly population and have similar risk factors. THE GOAL: was an evaluation of the correlation between 10-year risk of death from CVD and 10-year bone fracture risk (FRAX).
Material And Methods:
A total of 79 patients of the Regional Centre of Menopause and Osteoporosis of the Military Teaching Hospital in Lodz (Poland), aged 50-83 years, consulted for osteoporosis were divided into two groups: study group - with osteoporosis (O; T-score ≤ -2.5 SD) and control - without osteoporosis (T-sc > -2.5). Bone mineral density was evaluated by densitometric scanning of spine (L2-L4 T-score) and/or femoral neck (Neck T-score) and/or total hip (Total Hip T-score). Total cholesterol (TC), fasting glucose, arterial blood pressure, medical history, and family history were obtained. The risk of fatal-CVD was assessed by Euro Heart Score (EHS), and major osteoporotic (MOFR) and hip fracture risk (HFR) by the FRAX scale.
Results:
80% of the patients (32/40) with osteoporosis and 51% (20/39) of the patients without osteoporosis revealed a HeartScore ≥ 5%. There was correlation in the group of all patients between EHS and Neck T-score (p < 0.05; Spearman rank correlation coefficient (Rs) = -0.3806), L2-L4 T-score (p < 0.05; Rs = -0.2891), and Total Hip T-score (p < 0.005; Rs = -0.3561), and in the control group - between EHS and Neck T-score (p < 0.05; Rs = -0.3502). There was a 2.33% difference between the average EHS level to the disadvantage of patients with osteoporosis (p < 0.05). EHS positively correlated with MOFR (p < 0.001) and HFR (p < 0.001) in the whole study popula-tion and with MOFR (p < 0.05) and HFR (p < 0.01) in the group of osteoporotic patients. There were differences between groups in TC (p < 0.001) and BMI (p < 0.001) levels.
Conclusions:
The 10-year risk of fatal-CVD correlated with osteoporosis and with the 10-year osteoporotic fracture risk. This conclusion may help identify patients who require extended cardiotherapy protocols.
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