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Bone in heart failure

机译:心力衰竭骨骼

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摘要

There is an increasing interest in osteoporosis and reduced bone mineral density affecting not only post‐menopausal women but also men, particularly with coexisting chronic diseases. Bone status in patients with stable chronic heart failure (HF) has been rarely studied so far. HF and osteoporosis are highly prevalent aging‐related syndromes that exact a huge impact on society. Both disorders are common causes of loss of function and independence, and of prolonged hospitalizations, presenting a heavy burden on the health care system. The most devastating complication of osteoporosis is hip fracture, which is associated with high mortality risk and among those who survive, leads to a loss of function and independence often necessitating admission to long‐term care. Current HF guidelines do not suggest screening methods or patient education in terms of osteoporosis or osteoporotic fracture. This review may serve as a solid base to discuss the need for bone health evaluation in HF patients.
机译:对骨质疏松症的兴趣越来越令人兴趣,并且骨矿物质密度降低,不仅影响绝经后妇女,而且影响男性,特别是具有共存的慢性病。到目前为止,慢性心力衰竭患者(HF)患者的骨骼状况很少。 HF和骨质疏松症是高度普遍的衰老相关综合症,对社会进行了巨大影响。这两个障碍都是丧失功能和独立性的常见原因,并且长期住院,在医疗保健系统上呈现沉重的负担。骨质疏松症最毁灭性的并发症是髋关节骨折,这与高死亡率风险以及那些生存的人之间有关,导致失去功能和独立性,往往需要入院长期护理。目前的HF指南在骨质疏松症或骨质疏松骨折方面没有建议筛查方法或患者教育。本综述可作为实心群,以讨论HF患者对骨骼健康评估的需要。

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