Aortic valve calcification and risk of stroke: A systematic review and meta-analysis

Danfeng Zhang1, Xianliang Dai2, Chaoqun Wang3

  • 1Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.

Insights

Aortic valve calcification (AVC) is linked to increased stroke risk in older adults. However, current evidence is inconsistent, necessitating further large-scale studies to confirm this association.

Area of Science:

  • Cardiovascular Medicine
  • Epidemiology
  • Geriatrics

Background:

  • Aortic valve calcification (AVC) is prevalent in the elderly.
  • AVC is suspected to increase stroke risk, but existing research yields conflicting results.

Purpose of the Study:

  • To conduct a meta-analysis clarifying the association between AVC and stroke risk.
  • To synthesize findings from existing cohort studies.

Main Methods:

  • A systematic literature search was performed in Embase, PubMed, and Cochrane Library for cohort studies.
  • Data from 7 cohort studies involving 21,395 participants and 1025 strokes were analyzed.
  • Risk ratios (RR) and 95% confidence intervals (CIs) were used, with a random-effects model for synthesis.

Main Results:

  • A statistically significant correlation between AVC and stroke was found (RR, 1.20; 95% CI, 1.02-1.40).
  • Low heterogeneity was observed (I² = 6.9%, P = 0.375).
  • Significant results were only apparent in the subgroup with adjusted variables (P = 0.04).

Conclusions:

  • The current data do not definitively establish a causal relationship between AVC and stroke risk.
  • Larger prospective studies are required to validate the AVC-stroke association.

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