Aortic valve calcium score in hypercholesterolemic patients with and without low-density lipoprotein receptor gene

Rafal Gałąska1, Dorota Kulawiak-Gałąska2, Magdalena Chmara3

  • 11st Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.

Plos One
|December 29, 2018
PubMed

Insights

Patients with familial hypercholesterolemia and a low-density lipoprotein receptor gene mutation (LDLR-M) have significantly higher aortic valve calcium scores (AVCS) than those without the mutation (LDLR-WT). LDLR mutation is an independent risk factor for increased AVCS.

Area of Science:

  • Cardiology
  • Genetics
  • Radiology

Background:

  • Familial hypercholesterolemia (FH) is a genetic disorder characterized by high LDL cholesterol.
  • Low-density lipoprotein receptor (LDLR) gene mutations are a common cause of FH.
  • Aortic valve calcification (AVC) is a serious complication of hypercholesterolemia.

Purpose of the Study:

  • To compare aortic valve calcium scores (AVCS) between patients with FH and LDLR gene mutations (LDLR-M) versus those with hypercholesterolemia but without LDLR mutations (LDLR-WT).
  • To determine if LDLR mutation is an independent predictor of high AVCS.

Main Methods:

  • Retrospective study comparing 72 LDLR-M patients and 50 LDLR-WT patients.
  • All patients underwent CT scans for coronary calcium scoring.
  • Aortic valve calcium scores (AVCS) were measured and compared between groups.

Main Results:

  • AVCS was significantly higher in the LDLR-M group (13.8 ± 37.9) compared to the LDLR-WT group (0.94 ± 3.1) (p=0.03).
  • LDLR mutation was a strong predictor of high AVCS (OR 7.83, p=0.002), independent of traditional risk factors.
  • Age and systolic blood pressure were also significant predictors of high AVCS.

Conclusions:

  • Patients with LDLR gene mutations exhibit increased aortic valve calcification.
  • LDLR mutation is an independent risk factor for elevated AVCS, potentially due to LDLR's role in aortic valve calcification.
  • These findings highlight the importance of genetic screening in hypercholesterolemia management.

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