title: Relationship between osteopenic syndrome and severity of coronary artery disease detected with coronary angiography and Gensini score in men.
abstract: BACKGROUND
  Many studies have shown that evidence supporting the relationship between low bone mineral density (BMD) and coronary artery disease (CAD) has been increasing. There is a significant increase of myocardial infarction in men with low BMD.
  
  
  OBJECTIVE
  We aimed to detect the relationship between BMD and CAD in patients whose CAD was detected with coronary angiography, and its severity and prevalence was detected with Gensini score.
  
  
  METHODS
  A total of 55 patients were selected who were found to have single or multiple infarctions through using coronary angiography in the cardiology clinic. The CAD severity was evaluated by calculating the Gensini score. These patients were divided into two groups: mild CAD and severe CAD groups. Femur bone mineral density (FBMD) was measured with dual energy X-ray absorptiometry. T score values were determined to be normal if the values were >-1.0 (n=22, 40%), and osteopenia-osteoporosis (osteopenic syndrome) if the T score values were ≤-1 (n=33, 60%).
  
  
  RESULTS
  The FBMD of severe CAD according to the Gensini risk score was found to be significantly lower. FBMD values in patients decreased as their Gensini scores increased.
  
  
  CONCLUSIONS
  There was a significant relationship between CAD and osteopenic syndrome. FBMD level in men with severe CAD is significantly low when compared with patients who have mild CAD.
authors.affiliation: Department of Radiology, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Bircan
authors.initials: B
authors.lastname: Alan
authors.affiliation: Department of Biophysics, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Veysi
authors.initials: V
authors.lastname: Akpolat
authors.affiliation: Department of Cardiology, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Adem
authors.initials: A
authors.lastname: Aktan
authors.affiliation: Department of Cardiology, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Sait
authors.initials: S
authors.lastname: Alan
mesh_terms: D015502:Absorptiometry, Photon; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000453:epidemiology*; D005269:Femur / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010024:Osteoporosis / Q000453:epidemiology*; D012372:ROC Curve; D012307:Risk Factors; D012720:Severity of Illness Index; D014421:Turkey
keywords: bone mineral density; osteopenia severity of coranary artery disease; osteopenic sydrome; osteoporosis