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Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Association of mitral annulus calcification with high-sensitivity C-reactive protein, which is a marker of
Ertuğrul Kurtoğlu1, Hasan Korkmaz, Erdal Aktürk
1Department of Cardiology, Elazığ Education and Research Hospital, 23100 Elazığ, Turkey. erkurtoglu@hotmail.com
Insights
Mitral annular calcification (MAC) is associated with higher levels of high-sensitivity C-reactive protein (hs-CRP), a marker of systemic inflammation. This finding suggests a link between MAC and inflammation, even in patients without other common risk factors.
Area of Science:
- Cardiology
- Inflammation Research
- Diagnostic Markers
Background:
- Limited clinical data exists on the relationship between mitral annular calcification (MAC) and systemic inflammation.
- Systemic inflammation plays a role in various cardiovascular diseases.
Purpose of the Study:
- To compare high-sensitivity C-reactive protein (hs-CRP) levels in patients with and without MAC.
- To investigate the association between MAC and hs-CRP levels.
Main Methods:
- A case-control study involving 100 patients with MAC and 100 age-matched controls without MAC.
- Transthoracic echocardiography (TTE) was used for MAC assessment.
- Hs-CRP levels were measured and compared between the two groups.
Main Results:
- Patients with MAC had significantly higher hs-CRP levels compared to controls (2.02 ± 0.35 vs. 1.43 ± 0.47 mg/dl, P < 0.001).
- The MAC group showed a higher prevalence of female gender, hypertension, and coronary artery disease.
- Elevated hs-CRP in the MAC group was observed even in subgroups without hypertension, coronary artery disease, or in male patients.
Conclusions:
- Hs-CRP, a sensitive marker of systemic inflammation, is increased in patients with mitral annular calcification.
- This study highlights a potential link between MAC and underlying systemic inflammation.
Objectives:
There are limited clinical data revealing the relationship between mitral annular calcification (MAC) and systemic inflammation. The goal of the present study was to compare high-sensitivity C-reactive protein (hs-CRP) levels in patients with and without MAC and investigate the relationship between MAC and hs-CRP.
Methods:
One hundred patients with MAC who underwent transthoracic echocardiography (TTE) and 100 age-matched controls without MAC who underwent TTE were included in our study. Hs-CRP levels were compared between groups.
Results:
Prevalence of female gender, hypertension, and coronary artery disease were significantly higher in the MAC group than in the control group (64% versus 45%, P = 0.007, 42% versus 28%, P = 0.03 and 37% versus 18%, P = 0.003, resp.). On multivariate analysis, age, gender, and coronary artery disease were the only independent predictors of MAC. The levels of hs-CRP were higher in the MAC group than in the control group (2.02 ± 0.35 versus 1.43 ± 0.47 mg/dl, P < 0.001). This increase in hs-CRP levels in the MAC group persisted in patients without hypertension, coronary artery disease, and in male patients when compared to the control group.
Conclusions:
Our study demonstrated that hs-CRP, which is a sensitive marker of systemic inflammation, increased in patients with MAC.
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