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.
Abstract

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