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ESC Heart Fail. 2017 May;4(2):169-177. doi: 10.1002/ehf2.12126. Epub 2017 Mar 01.

Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation.

ESC heart failure

Ulrike Schulze-Späte, Iman Mizani, Kristina Rodriguez Salaverry, Jaime Chang, Christina Wu, Meaghan Jones, Peter J Kennel, Danielle L Brunjes, Tse-Hwei Choo, Tomoko S Kato, Donna Mancini, John Grbic, P Christian Schulze

Affiliations

  1. Division of Periodontics, College of Dental MedicineColumbia UniversityNew YorkNYUSA.
  2. Section of Geriodontics, Department of Conservative Dentistry and PeriodontologyUniversity Hospital Jena, Friedrich Schiller UniversityJenaGermany.
  3. Division of CardiologyColumbia University College of Physicians and SurgeonsNew YorkNYUSA.
  4. Department of PsychiatryColumbia University College of Physicians and SurgeonsNew YorkNYUSA.
  5. Department of CardiologyThe Mount Sinai HospitalNew YorkNYUSA.
  6. Division of Cardiology, Angiology, Pneumology and Intensive Medical CareUniversity Hospital Jena, Friedrich-Schiller-UniversityJenaGermany.

PMID: 28451454 PMCID: PMC5396042 DOI: 10.1002/ehf2.12126

Abstract

AIMS: Heart failure (HF) is a multi-organ, pro-inflammatory syndrome that impairs bone metabolism. Pro-inflammatory cytokines and bone catabolism enhance periodontal disease, a local inflammatory, bacteria-induced disease that causes bone loss and periodontal soft tissue destruction.

METHODS AND RESULTS: Medical and dental examinations were performed on patients with HF (

CONCLUSIONS: Patients with HF exhibit more severe periodontal disease associated with increased bone turnover markers when compared with control patients. However, local and systemic factors may account for this association and should be evaluated in future studies.

Keywords: Bone metabolism; Heart failure; Periodontal disease

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