Chronic Heart Failure Causes Osteopathy or Is Osteopathy a Factor in Development of Chronic Heart Failure?

Abstract

Objective: As their proportion rises in the aging population, cardiovascular disease and osteoporosis increasingly become significant health problems of the developed world, leading to reduced lifespan and substantial financial burdens, not the least because of complications and comorbidities associated with each disorder. This study investigates bone mineralization in patients with coronary heart disease (CHD) complicated by Stage I chronic heart failure (CHF). Methods:The study group consisted of 41 patients of both sexes with CHF Stage I against the background of CHD that with no severe comorbidities that could have potentially caused changes in bone tissue. Bone mineral density was measured using dual-energy X-ray densitometry of lumbar region of spine and proximal right femur.Results: Structural and functional changes in the bone of the lumbar spine were found in 75.9% of the patients with Stage I CHF caused by CHD. Osteopenia was diagnosed in 64.4% of the patients, while osteosclerotic bone changes were less frequent and found in 11.5% of the patients. 75.8% of the patients had structural and functional changes in the proximal segment of the right femur bone. In men with Stage I CHF against the background of CHD osteopenia was more often diagnosed in the proximal segment of the right femur, while in women it was found in almost equal proportion in the spine and hip. Conclusions:In both sexes with I Stage CHF against the background of CHD were diagnosed changes in bone mineralization, with osteopenia being the prevailing diagnosis.

Arterial hypertension prevention as an actual medical and social problem

“…Considering that mental health is an integral part of the general health of people and together with mental well-being it is a high quality of life condition, the presence of mental disorders significantly affects the course of the disease, violating the subjective perception of the disease and reducing the effectiveness of treatment [4][5][6] . The structure of the causes of mortality in Ukraine remains constant: cardiovascular diseases remain in the first place -in 2015 this figure counted up to 404.6 thousand people, which correspond to 68% of total mortality [7][8][9][10] . According to the official statistics, over the past 25 years, the prevalence of cardiovascular diseases among the population of our country has increased by 3 times, and the mortality rate from them has increased by 45%.…”

Pharmacological Treatment of Osteoporosis in Patients With Coronary Heart Disease Complicated by Chronic Heart Failure

“…Our previous studies showed that structural and functional changes in the bone tissue of the lumbar spine were found in 75.9% of patients with Stage 1 of CHF caused by ischemic heart disease: 64.4% of patients had osteopenic syndrome and 11.5% -osteosclerotic changes. In 75.8% of CHF patients, we have found structural and functional changes in the bone tissue of proximal right femur [13]. Structural and functional changes of bone tissue of the lumbar spine have been found in 49.2% of patients with CHD complicated by Stage II-A CHF, in particular, I stage of osteopenia -in 44.6%, II stage of osteopenia -in 27.7%, III stage of osteopenia -in 10.8%, and osteoporosis -in 16.9% [14].…”

Actual aspects of public health policy formation on the example of Ukraine

“…The first pilot projects on the development 25 . In the structure of non-infectious diseases mortality factors the main factors are diabetes [26][27][28] , cancer, chronic obstructive pulmonary diseases, cardiovascular diseases [29][30][31] . Key risk factors of non-infectious diseases are considered below (see scheme 1).…”