Prevalence and severity of coronary artery disease in diabetic patients with aortic valve calcification

Zhang-wei Chen1, Ju-ying Qian, Ying Jian

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

Acta Cardiologica
|March 31, 2011
PubMed

Insights

Type-2 diabetic patients with aortic valve calcification (AVC) show a higher prevalence and severity of coronary artery disease (CAD). This indicates AVC is a significant predictor of CAD in diabetic individuals.

Area of Science:

  • Cardiology
  • Diabetology
  • Vascular Medicine

Background:

  • Aortic valve calcification (AVC) is prevalent in the elderly and linked to cardiovascular mortality.
  • Diabetes mellitus is a known risk factor for coronary artery disease (CAD).

Purpose of the Study:

  • To assess the prevalence and severity of CAD in type-2 diabetic patients with AVC.
  • To investigate the association between AVC and CAD in diabetic versus non-diabetic individuals.

Main Methods:

  • Coronary angiography was performed on 325 patients presenting with chest pain.
  • CAD severity was quantified using the Gensini score and assessment of stenosed vessels.
  • Transthoracic echocardiography was used to detect AVC.

Main Results:

  • Diabetic patients (n=104) had a similar CAD prevalence (72.1%) compared to non-diabetics (n=221, 66.5%).
  • Patients with AVC exhibited higher CAD prevalence, Gensini scores, and stenosed vessels, irrespective of diabetes status.
  • Multivariable analysis revealed AVC as a significant predictor of CAD in diabetic patients (OR=3.757, P=0.03), but not in non-diabetics (OR=2.130, P=0.074).

Conclusions:

  • Type-2 diabetic patients with AVC have a greater prevalence and severity of CAD.
  • AVC is an independent predictor of CAD in type-2 diabetic patients.
Abstract

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