Osteoporosis and antithrombotic therapy

Anticoagulant and antiplatelet agents are used to prevent stroke and thromboembolic events. There is insufficient data on the effect of these drugs on bone tissue. In addition, the available data are ambiguous, which increases suspicion when used in individuals at high risk of osteoporosis. The arti...

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Main Authors: N. V. Brailova, E. N. Dudinskaya, V. A. Kuznesova, O. N. Tkacheva
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2021-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/4173
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author N. V. Brailova
E. N. Dudinskaya
V. A. Kuznesova
O. N. Tkacheva
author_facet N. V. Brailova
E. N. Dudinskaya
V. A. Kuznesova
O. N. Tkacheva
author_sort N. V. Brailova
collection DOAJ
description Anticoagulant and antiplatelet agents are used to prevent stroke and thromboembolic events. There is insufficient data on the effect of these drugs on bone tissue. In addition, the available data are ambiguous, which increases suspicion when used in individuals at high risk of osteoporosis. The article provides data on the effect of anticoagulant and antiplatelet agents on bone metabolism, bone mineral density and the fracture risk. Literature data indicate a negative effect of heparin on bone tissue, which is increase the risk of fractures. Low molecular weight heparins has lower effect on bone tissue than heparin. It is known that vitamin K antagonists significantly affect bone metabolism and markers of bone formation, however, data on the effect on bone mineral density and the risk of fractures are contradictory. Direct oral anticoagulants are relatively safe in relation to bone tissue. Data on the effects of antiplatelet drugs on bone are ambiguous.
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spelling doaj.art-bf5aa3a08e344db4b3c0ce7f18089e802023-03-29T21:23:36Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-06-0126510.15829/1560-4071-2021-41733107Osteoporosis and antithrombotic therapyN. V. Brailova0E. N. Dudinskaya1V. A. Kuznesova2O. N. Tkacheva3Pirogov Russian National Research Medical University, Russian Clinical and Research Center of GerontologyPirogov Russian National Research Medical University, Russian Clinical and Research Center of GerontologyPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University, Russian Clinical and Research Center of GerontologyAnticoagulant and antiplatelet agents are used to prevent stroke and thromboembolic events. There is insufficient data on the effect of these drugs on bone tissue. In addition, the available data are ambiguous, which increases suspicion when used in individuals at high risk of osteoporosis. The article provides data on the effect of anticoagulant and antiplatelet agents on bone metabolism, bone mineral density and the fracture risk. Literature data indicate a negative effect of heparin on bone tissue, which is increase the risk of fractures. Low molecular weight heparins has lower effect on bone tissue than heparin. It is known that vitamin K antagonists significantly affect bone metabolism and markers of bone formation, however, data on the effect on bone mineral density and the risk of fractures are contradictory. Direct oral anticoagulants are relatively safe in relation to bone tissue. Data on the effects of antiplatelet drugs on bone are ambiguous.https://russjcardiol.elpub.ru/jour/article/view/4173osteoporosisfracturesheparinlow molecular weight heparinswarfarinoral anticoagulants.
spellingShingle N. V. Brailova
E. N. Dudinskaya
V. A. Kuznesova
O. N. Tkacheva
Osteoporosis and antithrombotic therapy
Российский кардиологический журнал
osteoporosis
fractures
heparin
low molecular weight heparins
warfarin
oral anticoagulants.
title Osteoporosis and antithrombotic therapy
title_full Osteoporosis and antithrombotic therapy
title_fullStr Osteoporosis and antithrombotic therapy
title_full_unstemmed Osteoporosis and antithrombotic therapy
title_short Osteoporosis and antithrombotic therapy
title_sort osteoporosis and antithrombotic therapy
topic osteoporosis
fractures
heparin
low molecular weight heparins
warfarin
oral anticoagulants.
url https://russjcardiol.elpub.ru/jour/article/view/4173
work_keys_str_mv AT nvbrailova osteoporosisandantithrombotictherapy
AT endudinskaya osteoporosisandantithrombotictherapy
AT vakuznesova osteoporosisandantithrombotictherapy
AT ontkacheva osteoporosisandantithrombotictherapy