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Published on: May 31, 2016
Aortic Calcification in Takayasu Arteritis: Risk Factors and Relationship With Activity and Vascular Lesion. It Is
Gabriela Meléndez-Ramírez1, Maria Elena Soto2, Aloha Meave1
1From the Magnetic Resonance Department.
Insights
Aortic calcification in Takayasu arteritis (TA) is linked to age, longer disease duration, and dyslipidemia. This finding may help identify patients with accelerated atherosclerosis who could benefit from targeted treatments.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Radiology
Background:
- Aortic calcification is common in Takayasu arteritis (TA).
- Understanding risk factors for aortic calcification in TA is crucial for patient management.
Purpose of the Study:
- To evaluate risk factors for aortic calcification in TA.
- To examine the relationship between aortic calcification, disease activity, and vascular lesions in TA patients.
Main Methods:
- Nineteen TA patients underwent nonenhanced computed tomography for aortic calcium scoring across 13 segments.
- Vascular lesions in each segment were assessed using noninvasive angiography.
- Clinical risk factors and disease activity scores were recorded.
Main Results:
- 57.9% of patients had detectable aortic calcification.
- Higher calcium scores were associated with increased age, longer disease evolution, and dyslipidemia.
- Lower disease activity scores (NIH and Dabague) were observed in patients with calcification.
- Vascular occlusion was more frequent in patients with calcification, while wall thickening was more common in those without.
Conclusions:
- Aortic calcification in TA correlates with age, disease duration, lipid profile abnormalities, and vascular occlusion.
- Calcification is inversely associated with certain disease activity scores.
- Identifying aortic calcification can help pinpoint TA patients with potential accelerated atherosclerosis, even without significant visible lesions, who may need specific interventions.
Introduction:
Aortic calcification is a frequent finding in Takayasu arteritis (TA). The aim of this study was to evaluate the risk factors for aortic calcification in TA and its relationship with disease activity and the presence and type of vascular lesion.
Methods:
Nineteen patients with TA underwent nonenhanced computed tomography to measure the calcium score of the aorta and its main branches, which were divided into 13 segments. In each segment, the type of vascular lesion was evaluated by noninvasive angiography. Clinical risk factors and disease activity scores were recorded.
Results:
Eighteen of 19 patients (95%) were women, with a median age of 25 years. Median of calcium score was 69 AU (0-12,465 AU). Eleven of 19 patients (57.9%) had calcium score greater than 0. Age, evolution time, and dyslipidemia were higher in patients with calcium, whereas the National Institutes Health and Dabague disease activity scores were lower. There was no association between the presence of calcium and vascular lesion: 60 of 160 segments (37.5%) without calcium had some lesion, compared with 24 of 68 (35.3%) with calcium score greater than 0, p = 0.75. However, occlusion was more frequent in patients with calcium, whereas wall thickening was in those without calcium.
Conclusions:
Aortic calcification in TA is related to age, evolution time, and abnormalities in lipid profile and occlusion and, inversely with some activity scores. Identification of calcification could be useful in identifying patients that even without significant lesions might have accelerated atherosclerosis, and who might be benefited with specific treatment.
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