Deans' stroke musings: Low BMD raises all-cause and cardiovascular mortality

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, January 19, 2012

Low BMD raises all-cause and cardiovascular mortality

But not for stroke.
http://www.medwire-news.md/437/96851/Bone_Health/Low_BMD_raises_all-cause_and_cardiovascular_mortality.html
Low bone mineral density (BMD) is associated with a significantly increased risk for all-cause and cardiovascular mortality, research shows.

Lower BMD does not appear to be associated with an increased risk for death from stroke, however.

These are the conclusions of Kerong Dai (Shanghai Jiaotong University School of Medicine, Shanghai, China) and colleagues based on a meta-analysis of 10 studies involving 46,182 individuals.

Previous studies have established an increased risk for death in men and women following bone fracture, particularly hip fracture, they explain in the International Journal of Cardiology.

Although epidemiologic studies have suggested an inverse relationship between BMD and all-cause, cardiovascular and stroke mortality, it is not known whether these increased risks with low BMD are independent of established cardiovascular risk factors, they add.

Dai and colleagues explored the relationship between specific causes of death and BMD, noting there were 3991 deaths from all causes, 1479 cardiovascular deaths, and 403 deaths from stroke during a median of 7 years follow-up.

For each standard deviation (SD) decrease in BMD at all sites, there was a significant 17% increase in all-cause mortality and a significant 13% increase risk for death from cardiovascular causes.

Decreases in BMD measured at the total hip/femoral neck were also associated with a significant 20% increase in the risk for all-cause mortality, and a 20% increased risk for death from cardiovascular events.

Overall, however, decreases in BMD were not linked to death from stroke. (But what about just having a stroke?)

The study "supports the view that lower BMD is associated with higher risk of all-cause and cardiovascular mortality," write the researchers.

They conclude that cardiovascular disease and osteoporosis are prevalent disorders, and research suggests they might share risk factors underlying their respective pathophysiologic mechanisms.