Related Experiment Video
Updated: Aug 23, 2026

Investigating Aortic Valve Calcification via Isolation and Culture of T Lymphocytes using Feeder Cells from Irradiated Buffy Coat
Published on: February 4, 2021
Mitral annular calcification is associated with osteoporosis in women
Vedat Davutoglu1, Mustafa Yilmaz, Serdar Soydinc
1Department of Cardiology, School of Medicine, Sahinbey Medical Center, Gaziantep University Gaziantep, Turkey. vedatdavutoglu@hotmail.com
Background:
Few studies have suggested association between mitral annular calcification (MAC) and osteoporosis in women who are post-menopausal. However, the association of MAC with osteoporosis in women, in relation to bone resorption, as assessed by using the dual-energy x-ray absorptiometry method (DEXA), have not been performed. We sought to examine the association between MAC and osteoporosis.
Methods:
In this prospective, observational study carried out in a tertiary referral center, 340 women (mean age +/- SD, 56 +/- 10 years; age range, 33-85 years) underwent echocardiography, with specific assessment of MAC and bone mineral density measurement (T-scores) using DEXA.
Results:
MAC was absent in 123 patients (group I) and present in 217 patients (group II). Compared with the control group, the group with MAC had a significantly higher prevalence and severity of osteoporosis (18.2% vs 55.5%, P <.001). Severe osteoporosis was significantly more common in the severe MAC subgroup (n = 66) than in the control subjects (65.2% vs 17.1%; Pearson chi2, 70.02; df = 4; P <.001). With multivariate analysis, only T-scores and age were highly predictive of MAC, with an odds ratio of 2.66 (95 % CI, 1.85-3.83) and 1.04 (95% CI, 1.01-1.07), respectively.
Conclusions:
MAC is associated with osteoporosis. Bone mineral density measurement (T-scores) and age were highly predictive of MAC in women.
Insights
Mitral annular calcification (MAC) is linked to osteoporosis in post-menopausal women. Bone mineral density (BMD) and age are key predictors of MAC, highlighting a connection between cardiovascular and bone health.
Area of Science:
- Cardiology
- Osteoporosis Research
- Geriatric Medicine
Background:
- Limited research explores the link between mitral annular calcification (MAC) and osteoporosis in post-menopausal women.
- Previous studies have not investigated MAC's association with osteoporosis using dual-energy x-ray absorptiometry (DEXA) for bone resorption assessment.
Purpose of the Study:
- To investigate the association between mitral annular calcification (MAC) and osteoporosis in women.
- To determine if MAC is a predictor of osteoporosis in the female population.
Main Methods:
- A prospective, observational study involving 340 women (mean age 56 years).
- Participants underwent echocardiography for MAC assessment and DEXA scans for bone mineral density (BMD) T-scores.
Main Results:
- Mitral annular calcification (MAC) was present in 217 women and absent in 123.
- Women with MAC showed a significantly higher prevalence and severity of osteoporosis (55.5%) compared to controls (18.2%).
- Multivariate analysis identified T-scores and age as significant predictors of MAC (OR 2.66 and 1.04, respectively).
Conclusions:
- Mitral annular calcification (MAC) is significantly associated with osteoporosis in women.
- Bone mineral density (BMD) T-scores and patient age are strong predictors of MAC.
Related Concept Videos
Mitral Valve Prolapse I: Introduction
Mitral Stenosis I: Introduction
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Mitral Valve Prolapse II: Assessment and Management
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral Valve Prolapse III: Nursing Management

