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Updated: Apr 29, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Cerebral small artery diseases may be associated with aortic arch calcification in stroke patients
Yuji Ueno1, Ayami Okuzumi, Masao Watanabe
1Department of Neurology, Juntendo University Urayasu Hospital.
Insights
Aortic arch calcification (AoAC) on chest X-rays is linked to small artery occlusion (SAO) stroke. Key factors include age, hypertension, diabetes, and white matter lesions.
Area of Science:
- Cardiology
- Neurology
- Radiology
Background:
- Aortic arch calcification (AoAC) on chest X-rays indicates systemic atherosclerosis and is linked to ischemic cardiovascular diseases.
- The specific association between AoAC and ischemic stroke subtypes requires further clarification.
Purpose of the Study:
- To investigate the relationship between the extent of AoAC on chest X-rays and different subtypes of acute ischemic stroke.
- To identify clinical, biochemical, and imaging factors associated with AoAC in stroke patients.
Main Methods:
- Prospective study of 175 acute ischemic stroke patients undergoing chest X-ray, blood tests, and brain MRI.
- AoAC extent was graded (0-3) on chest X-rays.
- Clinical data, biochemical findings, white matter lesions, and AoAC extent were analyzed across stroke subtypes.
Main Results:
- AoAC extent was independently correlated with small artery occlusion (SAO) stroke.
- Significant associations were found between AoAC and age, hypertension, diabetes mellitus, white matter lesions, and SAO.
- Age (OR: 1.14), hypertension (OR: 3.44), white matter lesions (OR: 1.54), and SAO (OR: 1.38) were significant factors.
Conclusions:
- Age, hypertension, and cerebral small artery disease are strongly associated with AoAC in acute ischemic stroke patients.
- Diabetes mellitus may also be closely associated with AoAC.
Aim:
Aortic arch calcification (AoAC) on chest X-rays represents systemic atherosclerosis and it is associated with ischemic cardiovascular diseases. However, the relationship between ischemic stroke and AoAC has yet to be fully elucidated.
Methods:
Patients with acute ischemic stroke who were undergoing chest X-ray, blood, and brain magnetic resonance imaging (MRI) examinations were prospectively studied. The extent of AoAC on chest X-ray was divided into four grades (0-3). Clinical characteristics, biochemical findings, white matter lesions on MRI, and AoAC extent were assessed in each stroke subtype, and the factors associated with AoAC were investigated.
Results:
A total of 175 patients (age, 70 ± 13 years; 115 men) were enrolled in the study. According to the Trial of Org 10172 in Acute Stroke Treatment classification with minor modification, 33 patients (19%) had small artery occlusion (SAO), 42 (24%) had large artery atherosclerosis, 49 (28%) had cardioembolism, 24 (14%) had stroke with other determined etiologies, and 27 (17%) had stroke with undetermined etiologies. Compared to other stroke subtypes, the extent of AoAC was independently correlated with SAO (all p<0.05). Age (odds ratio [OR]: 1.14, 95% confidence interval [CI]: 1.08 to 1.19, p<0.001), hypertension, (OR: 3.44, 95% CI: 1.23 to 9.66, p=0.019), diabetes mellitus (OR: 2.19, 95% CI: 0.99 to 4.85, p=0.054), white matter lesions (OR: 1.54, 95% CI: 1.00 to 2.36, p=0.048), and SAO (OR: 1.38, 95% CI: 1.02 to 1.89, p=0.040) were significantly associated with AoAC.
Conclusions:
Age, hypertension, cerebral small artery disease, and possibly diabetes mellitus appear to be closely associated with AoAC in patients with acute ischemic stroke.
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