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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
A study on the prevalence, distribution and related factors of heart valve calcification using coronary CT
Yuki Kamo1, Shinichiro Fujimoto1, Chihiro Aoshima1
1Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Insights
Heart valve calcification (HVC) affects nearly half of patients undergoing coronary CT angiography (CCTA). Aortic valve calcification is linked to age and coronary artery calcium score, but mitral valve calcification is only associated with age.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Pathology
Background:
- Heart valve calcification (HVC) is increasingly recognized as an active atherosclerotic process.
- Understanding the prevalence and contributing factors of HVC is crucial for cardiovascular risk assessment.
Purpose of the Study:
- To investigate the prevalence, distribution, and associated factors of HVC in patients who underwent coronary CT angiography (CCTA).
- To explore the relationship between HVC and coronary artery disease indicators.
Main Methods:
- Retrospective analysis of 200 consecutive patients who underwent CCTA.
- ECG-gated non-contrast CT was used to assess HVC prevalence and distribution in aortic and mitral valves.
- Logistic and simple regression analyses were performed to identify associated factors.
Main Results:
- HVC was detected in 48.0% of patients, with aortic valve calcification (AVC) being most common (92 cases).
- Age and coronary artery calcium score (CACS) grade were significant factors associated with AVC presence.
- Age, dyslipidemia, and statin use were associated with quantitative AVC; only age was linked to MVC presence.
Conclusions:
- A significant association exists between the presence of AVC and CACS.
- No significant association was found between mitral valve calcification (MVC) and CACS or coronary artery disease.
- Neither quantitative AVC nor MVC showed a significant association with CACS or coronary artery disease.
Background:
The concept of active atherosclerotic disease has been accepted for heart valve calcification (HVC). We investigated prevalence, distribution and related factors of HVC in patients who had undergone coronary CT angiography (CCTA).
Methods:
Subjects were consecutive 200 patients who underwent CCTA. The prevalence and the distribution of HVC using ECG gated non-contrast CT were investigated. Logistic regression analysis and simple regression analysis for factors associated with presence of the calcification and quantitative calcification in the aortic and mitral valve were conducted.
Results:
HVC was detected in 48.0%. Aortic valve calcification (AVC) was found in 92 cases, the most, followed by mitral valve calcification (MVC) in 25 cases, pulmonary valve in 3 cases, and tricuspid valve in 1 case. Although the left coronary cusp showed the most in 65.2%, no statistic significant difference for Agatston score was detected among each cusp in AVC. Multiple logistic regression analysis showed that age (OR:1.211, 95%C.I.:1.0716-1.1728, p < 0.0001) and coronary artery calcium score (CACS) grade (grade2 OR:7.3393, 95%C.I.:1.7699-30.4349, p = 0.0060, grade3 OR:7.2214, 95%C.I.:1.4376-36.2762, p = 0.0164) were significant factors associated with presence of AVC. The significant factors associated with quantitative AVC were age (p = 0.0043), dyslipidemia (p = 0.0117), and statin use (p = 0.0221). Only age (OR:1.1589, 95%C.I.:1.0726-1.2520, p = 0.0002) was significant factor related to presence of MVC. No significant related factor was found in quantitative MVC.
Conclusions:
There was an association between presence of AVC and CACS, but not a significant association with presence of MVC. Neither quantitative AVC nor MVC had a significant association with CACS or coronary artery disease.
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