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Updated: Jun 9, 2026

A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro
Published on: June 2, 2022
Risk factor differences for aortic versus coronary calcified atherosclerosis: the multiethnic study of
Michael H Criqui1, Aruna Kamineni, Matthew A Allison
1Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, CA 92093-0607, USA. mcriqui@ucsd.edu
Insights
Abdominal aortic calcium (AAC) correlates more strongly with cardiovascular disease (CVD) risk factors than coronary artery calcium (CAC). Further research is needed to determine AAC
Area of Science:
- Cardiovascular Imaging
- Biomarkers
- Risk Factor Assessment
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality globally.
- Accurate assessment of CVD risk factors is crucial for effective prevention strategies.
- Coronary artery calcium (CAC) and abdominal aortic calcium (AAC) are imaging biomarkers of atherosclerosis.
Purpose of the Study:
- To compare the associations of AAC and CAC with traditional and novel cardiovascular disease (CVD) risk factors.
- To evaluate the relative strengths of association between AAC, CAC, and various CVD risk factors.
Main Methods:
- Computed tomography (CT) scans were used to measure AAC and CAC in a multiethnic cohort of 1974 participants (aged 45-84).
- Logistic and multiple linear regression analyses were employed to assess associations with traditional (e.g., smoking, hypertension, dyslipidemia) and novel CVD risk factors.
- Statistical comparisons were made between AAC and CAC regarding their relationships with risk factors and demographic variables.
Main Results:
- AAC demonstrated significant associations with cigarette smoking and dyslipidemia, with no observed gender difference.
- CAC exhibited weaker associations with smoking and dyslipidemia and a notable male predominance.
- Both AAC and CAC were significantly associated with age and hypertension.
- Novel risk factors, except for phosphorus with CAC in subset analyses, generally showed no independent association with either calcium measure.
- Quantitative and qualitative analyses indicated a higher association strength for AAC compared to CAC.
Conclusions:
- AAC exhibits stronger correlations with a broader range of CVD risk factors than CAC.
- The comparative predictive value of AAC versus CAC for incident CVD events warrants further investigation.
Objective:
The goal of this study was to compare and contrast coronary artery calcium (CAC) with abdominal aortic calcium (AAC) in terms of their associations with traditional and novel cardiovascular disease (CVD) risk factors.
Methods And Results:
We measured both AAC and CAC using computed tomography scans in 1974 men and women aged 45 to 84 years from a multiethnic cohort. Traditional and novel CVD risk factors were examined separately in relation to AAC and CAC, using logistic regression for qualitative categorical comparisons and multiple linear regression for quantitative continuous comparisons. AAC was significantly associated with cigarette smoking and dyslipidemia and showed no gender difference. In contrast, CAC showed much weaker associations with smoking and dyslipidemia and a strong male predominance. Age and hypertension were associated similarly and significantly with AAC and CAC. Novel risk factors generally showed no independent association with either calcium measure, although in subset analyses, phosphorus, but not calcium, was related to CAC. The receiver operating characteristic curves for the qualitative results and the r(2) values for the quantitative analyses were both much higher for AAC than for CAC.
Conclusions:
AAC showed stronger correlations with most CVD risk factors than did CAC. The predictive value of AAC compared with CAC for incident CVD events remains to be evaluated.
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