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.
Abstract

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