The risk of myocardial infarction was doubled when a kidney disease patient undergoing hemodialysis had a fracture.
Professor Kwon Young-joo of the Department of Nephrology of Kodae Guro Hospital analyzed the relationship between fracture and myocardial infarction in kidney patients using data from the Health Insurance Review and Assessment Service and published it in the International Journal of Osteoporosis.
The subjects of this study were 38,935 people, including 11,379 patients with hemodialysis and 27,556 patients with chronic kidney disease before dialysis. As a result of the analysis, fractures occurred in 5,057 of the subjects, of which 1,431 (3.7%) had acute myocardial infarction.
In particular, hemodialysis patients with vertebral fractures had about twice the risk of myocardial infarction compared to the non-fractured group. According to Professor Kwon, calcification of blood vessels and factors affecting bone strength increase the risk of myocardial infarction as well as fracture. Hypotension and ischemic injury during dialysis are also causes.
Professor Kwon said, “This is an important research result that suggests the establishment of basic data on fracture management in dialysis patients and its association with cardiovascular diseases.” “In chronic kidney disease patients, more attention is required for bone health including bone density. “There is a need to monitor the occurrence of acute myocardial infarction in hemodialysis patients.”
Meanwhile, this study was supported by the Korean Society of Nephrology.
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