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Updated: Jan 31, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
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Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation

Published on: May 31, 2016

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A strong and reliable indicator for early postoperative major cardiac events after elective orthopedic surgery:

Adem Adar1, Orhan Onalan1, Fahri Cakan1

  • 1Karabuk University Faculty of Medicine, Department of Cardiology, Karabuk, Turkey.

Heart & Lung : the Journal of Critical Care
|January 1, 2019
PubMed

Insights

Aortic arch calcification predicts major cardiac events after orthopedic surgery. This finding helps identify patients at higher risk for cardiovascular complications, improving patient outcomes.

Area of Science:

  • Cardiology
  • Orthopedic Surgery
  • Radiology

Background:

  • Cardiovascular events pose a mortality risk following orthopedic surgery.
  • Predicting early cardiovascular events is crucial for patient safety.

Purpose of the Study:

  • To examine the association between aortic arch calcification and 30-day major adverse cardiac events (MACE) after elective orthopedic surgery.

Main Methods:

  • 714 patients undergoing elective orthopedic surgery were analyzed.
  • Preoperative assessments included medical history, echocardiography, and chest X-ray.
  • Aortic arch calcification was graded from chest X-rays; patients were monitored for 30-day MACE.

Main Results:

  • 33 patients experienced MACE.
  • Aortic arch calcification, smoking, and hypertension were independent predictors of MACE.
  • Patients with MACE had higher prevalence of aortic arch calcification, coronary artery disease, hypertension, and smoking.

Conclusions:

  • Aortic arch calcification is a significant predictor of 30-day MACE in patients undergoing elective orthopedic surgery.
  • Identifying aortic arch calcification can aid in risk stratification for cardiovascular events.
Abstract

Keywords:
Aortic arch calcificationMajor adverse cardiac eventsOrthopedic surgery

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