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    Martha Grogan, M.D.

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Question

Calcium supplements: A risk factor for heart attack?

I've read that calcium supplements may increase the risk of heart attack. Is this true?

Answer

from Martha Grogan, M.D.

Some doctors think it's possible that taking calcium supplements may increase your risk of a heart attack. Other doctors believe that calcium supplements have little or no effect on your heart attack risk.

There's concern about calcium supplements and heart attack risk because many women take calcium supplements to treat or prevent bone diseases such as osteoporosis. It's thought that the calcium in supplements could make its way into fatty plaques in your arteries — a condition called atherosclerosis — causing those plaques to harden and increase your risk of heart disease.

More research is needed before doctors know the effect calcium supplements may have on your heart attack risk. The calcium supplements that some doctors are concerned about are those that contain only calcium — not supplements that combine calcium and vitamin D or multivitamin supplements.

Current recommendations regarding calcium supplements for people who have, or have risk factors for, osteoporosis haven't changed. As with any health issue, it's important to talk to your doctor to determine what's best in your case.

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References
  1. Bolland MJ, et al. Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: Meta-analysis. British Medical Journal. 2010;341:3691.
  2. Bolland MJ, et al. Vascular events in healthy older women receiving calcium supplementation: Randomised controlled trial. British Medical Journal. 2008;336:262.
  3. Shah SM, et al. Calcium supplementation, cardiovascular disease and mortality in older women. Pharmacoepidemiology and Drug Safety. 2010;19:59.
  4. Neuhouser ML, et al. Multivitamin use and risk of cancer and cardiovascular disease in the Women's Health Initiative cohorts. Archives of Internal Medicine. 2009;169:294.
AN01928 Oct. 28, 2010

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