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Published on: May 10, 2021
Association of cardiovascular risk factors to aortic valve calcification as quantified by electron beam computed
Karsten Pohle1, Merle Otte, Ralph Mäffert
1Department of Internal Medicine II, University of Erlangen, Erlangen, Germany. Falk-Karsten.Pohle@rzmail.uni-erlangen.de
Insights
Aortic valve calcification is linked to common cardiovascular risk factors and coronary artery calcification. These findings highlight the interconnectedness of calcification in the heart
Area of Science:
- Cardiology
- Radiology
- Preventive Medicine
Background:
- Aortic valve calcification (AVC) is increasingly recognized but its association with cardiovascular risk factors and coronary artery calcification (CAC) requires further investigation.
- Understanding these associations can improve risk stratification and preventive strategies for cardiovascular disease.
Purpose of the Study:
- To analyze the association among aortic valve calcification, cardiovascular risk factors, and coronary artery calcification.
- To determine the predictive value of risk factors and CAC for AVC.
Main Methods:
- Cardiac electron beam computed tomography (EBCT) data from 1000 patients were analyzed.
- Coronary artery calcification was quantified using the Agatston score, and aortic valve calcification was measured using a volumetric score.
- Patient data included documented atherosclerotic risk factors: hyperlipidemia, hypertension, diabetes, smoking, and family history of coronary artery disease.
Main Results:
- Aortic valve calcification was detected in 17.7% of patients and was more frequent in those with coronary calcification, hyperlipidemia, hypertension, or diabetes.
- The volume of AVC was significantly higher in patients with hyperlipidemia, hypertension, and diabetes.
- Multivariable analysis revealed hyperlipidemia and the presence of coronary calcification as significant predictors of AVC.
Conclusions:
- A significant association exists between atherosclerotic risk factors, coronary calcification, and both the presence and amount of aortic valve calcification.
- These findings suggest a systemic atherosclerotic process linking calcification in different cardiovascular areas.
Objective:
To analyze the association among aortic valve calcification, cardiovascular risk factors, and coronary artery calcification using electron beam computed tomography (EBCT).
Patients And Methods:
We analyzed cardiac EBCT data obtained for coronary calcium detection in 1000 consecutively enrolled patients (mean +/- SD age, 57.1 +/- 10 years; 69% men) between January 1, 1998, and July 23, 2001. In all patients, atherosclerotic risk factors (hyperlipidemia, hypertension, diabetes, smoking, and family history of coronary artery disease) were documented. With EBCT, the amount of coronary calcification was determined using the Agatston score, and the amount of aortic valve calcification was measured using a volumetric score.
Results:
Aortic valve calcification was detected in 177 (17.7%) of the total patient group and was found more frequently in patients with coronary calcification (20.5% in patients with coronary calcium vs 3.8% in patients without coronary calcium; P < .001), hyperlipidemia (19.5% vs 6.5%; P < .001), hypertension (21.7% vs 13.9%; P = .01), or diabetes (30.7% vs 16.6%; P = .002). The volume of aortic valve calcification was significantly higher in patients with vs without hyperlipidemia (P < .001), hypertension (P = .002), and diabetes (P = .001). In a multivariable logistic regression analysis, adjusted for age and sex, hyperlipidemia (P = .001) and the presence of coronary calcification (P < .001) were significant predictors of aortic valve calcification.
Conclusion:
A significant association exists among atherosclerotic risk factors, coronary calcification, and the presence and amount of aortic valve calcification.
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