Relationship between aortic valve calcification and the severity of coronary atherosclerotic disease

Juying Qian1, Zhangwei Chen, Junbo Ge

  • 1Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, PR China.

Insights

Aortic valve calcification (AVC) is more common in patients with coronary artery disease (CAD). This study found AVC is linked to a higher prevalence and severity of CAD in elderly patients.

Area of Science:

  • Cardiology
  • Geriatrics
  • Diagnostic Imaging

Background:

  • Aortic valve calcification (AVC) is prevalent in the elderly and linked to cardiovascular mortality.
  • AVC is hypothesized to correlate with coronary atherosclerotic disease (CAD) and its severity.

Purpose of the Study:

  • To investigate the association between aortic valve calcification (AVC) and the prevalence and severity of coronary atherosclerotic disease (CAD).

Main Methods:

  • Coronary angiography was performed on 235 patients presenting with chest pain.
  • Coronary artery disease (CAD) severity was assessed using the Gensini score, number of stenosed vessels, and total occlusion.
  • Transthoracic echocardiography was used to detect aortic valve calcification (AVC).

Main Results:

  • Patients with CAD showed a higher prevalence of AVC (44%) compared to those without CAD (26%).
  • AVC prevalence increased with higher Gensini scores, indicating more severe CAD.
  • Multivariable analysis revealed AVC as an independent predictor of CAD (OR=2.315), surpassing other risk factors like cholesterol and fibrinogen.

Conclusions:

  • Aortic valve calcification (AVC) is significantly associated with a higher prevalence and greater severity of coronary atherosclerotic disease (CAD).
Abstract

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