Citation

Reyes-García R, Rozas-Moreno P, Muñoz-Torres M. Rev. Clin. Esp. 2012; 212(4): 188-192.

Vernacular Title

Enfermedad cardiovascular, osteoporosis y riesgo de fractura.

Affiliation

Unidad de Metabolismo Óseo, Servicio de Endocrinología, Hospital Universitario San Cecilio, Granada, España.

Copyright

(Copyright © 2012, Elsevier Publishing)

DOI

10.1016/j.rce.2011.06.006

PMID

21798531

Abstract

A 60-year-old man, who did administrative work, consulted for evaluation of the presence of osteoporosis. He smoked ten cigarettes a day and drank alcohol occasionally. Eight years ago he suffered a Colle's fracture in his right arm after an incidental fall, which resolved without complications. His mother had a hip fracture when she was 78 years old. The patient weighed 89.4 kg and his height was 165cm (BMI 38 kg/m(2)). The DXA showed a T-score -2.4 at lumbar spine and -1.9 at femoral neck. He had suffered a myocardial infarction one year ago and is presently taking statin, a beta-blocker and enalapril. In summary, this is a male with a background of fracture due to fragility, with lumbar BMD close to those established as diagnostic of osteoporosis and he also has cardiovascular disease. How should this patient be evaluated and treated?

Language: es