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Updated: Jul 30, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Mitral annulus calcification--a window to diffuse atherosclerosis of the vascular system
1Department of Cardiology, The Sheingarten Echocardiography Unit, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
Mitral annulus calcification (MAC) is a degenerative heart condition. Studies suggest MAC is a form of atherosclerosis, linked to increased risk of cardiovascular events and arterial stenosis.
Area of Science:
- Cardiovascular Medicine
- Pathology
Background:
- Mitral annulus calcification (MAC) is a degenerative process affecting the mitral valve.
- MAC is more prevalent in women and the elderly, associated with traditional atherosclerotic risk factors.
- Patients with MAC exhibit higher rates of cardiac abnormalities and cardiovascular events.
Purpose of the Study:
- To review and summarize evidence supporting the theory that MAC is a manifestation of atherosclerosis.
- To highlight the association between MAC and atherosclerotic disease in other vascular beds.
Main Methods:
- Review of clinical studies examining the association between MAC and atherosclerotic phenomena.
- Analysis of prevalence of aortic atheroma, carotid, coronary, and peripheral artery stenosis in MAC patients.
- Measurement of beta2-Glycoprotein I antibodies in relation to MAC thickness.
Main Results:
- Patients with MAC showed a higher prevalence of aortic atheroma and increased atheroma thickness.
- Increased prevalence of carotid, coronary, and peripheral artery stenosis was observed in MAC patients.
- Higher levels of beta2-Glycoprotein I antibodies were found in patients with significant MAC (≥5 mm).
Conclusions:
- The findings support the hypothesis that MAC is a form of atherosclerosis.
- MAC identifies a patient group with a higher prevalence of multi-vessel atherosclerotic disease.
- MAC itself may represent an atherosclerotic process, warranting further investigation.
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