title: [Cardiovascular disease, osteoporosis and risk of fracture].
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 165 cm (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?
authors.affiliation: Unidad de Metabolismo Óseo, Servicio de Endocrinología, Hospital Universitario San Cecilio, Granada, España. rebecarg@yahoo.com
authors.forename: R
authors.initials: R
authors.lastname: Reyes-García
authors.forename: P
authors.initials: P
authors.lastname: Rozas-Moreno
authors.forename: M
authors.initials: M
authors.lastname: Muñoz-Torres
mesh_terms: D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D058866:Osteoporotic Fractures / Q000209:etiology / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D012306:Risk
chemical_list: D050071:Bone Density Conservation Agents