Abstract

FERNANDEZ BLANCO, Patricia  and  SOLIS ALFONSO, Lesly. Relationship between carotid atherosclerosis and lumbar spine and hip osteoporosis in acute myocardial infarction. Rev Cub Med Mil [online]. 2014, vol.43, n.1, pp.11-22. ISSN 0138-6557.

Objective: determine the relationship between carotid atherosclerosis and lumbar spine and hip osteoporosis in patients with acute myocardial infarction. Methods: a study was conducted of 104 patients with a clinical and laboratory diagnosis of acute myocardial infarction. All patients underwent carotid Doppler ultrasonography for intima media thickness, location and type of atheromatous plaques, stenosis degree and atherogenic index, followed by lumbar spine and hip densitometry. Bone mineral density levels were classified as normal, osteopenia or osteoporosis, according to the T-score. Results: no correlation was found between bone mineral density values and the extent of atherosclerotic damage to the carotid sector. Most risk factors were associated with normal intima media thickness values, an increased atherogenic index, a low prevalence of significant stenosis, and densitometric osteopenia. Aging and hypertension were the predominant risk factors. Conclusions: except for the existence of common risk factors, no association was found between osteoporosis and carotid atherosclerosis in patients with acute myocardial infarction.

Keywords : osteoporosis; carotid atherosclerosis; densitometry; carotid echo-Doppler.

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