Aortic knob calcification and cardioankle vascular index in asymptomatic hypertensive patients

Ayça Ata Korkmaz1, Ali R Akyüz

  • 1aDepartment of Radiology, Kanuni Training and Research Hospital bDepartment of Cardiology, Saglik Bilimleri University, Trabzon Ahi Evren Cardiovascular and Thoracic Surgery Research and Application Center, Trabzon, Turkey.

Blood Pressure Monitoring
|October 21, 2016
PubMed

Insights

Aortic knob calcification (AKC) on chest X-rays may predict arterial stiffness in hypertensive patients. This finding suggests AKC can help identify individuals at risk for subclinical atherosclerosis.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Vascular Biology

Background:

  • Hypertension predisposes patients to atherosclerosis, increasing risks of target organ damage.
  • Cardioankle vascular index (CAVI) is a novel marker for arterial stiffness and subclinical atherosclerosis.
  • Aortic knob calcification (AKC) is a potential indicator of atherosclerosis in large vessels.

Purpose of the Study:

  • To investigate the relationship between aortic knob calcification (AKC) and arterial stiffness (CAVI).
  • To assess the predictive value of AKC for subclinical atherosclerosis in asymptomatic hypertensive patients.

Main Methods:

  • Chest radiography was used to assess aortic knob calcification (AKC).
  • Cardioankle vascular index (CAVI) was measured using the VaSera - 1000 CAVI instrument.
  • Sixty hypertensive patients with AKC were compared to 60 age- and sex-matched controls without AKC.

Main Results:

  • Patients with AKC exhibited significantly higher CAVI values compared to controls (11.8±3.9 vs. 8.2±2.1, P<0.001).
  • A higher percentage of patients with subclinical atherosclerosis (CAVI≥9) had AKC compared to those without (72% vs. 34%, P<0.001).

Conclusions:

  • Aortic knob calcification (AKC) detected on chest radiography may offer valuable predictive information.
  • AKC could serve as a marker for arterial stiffness and subclinical atherosclerosis in asymptomatic hypertensive individuals.
Abstract

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