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Arterial Calcification and Its Association With Stroke: Implication of Risk, Prognosis, Treatment Response, and
Xiang Wang1,2, Xinghang Chen1,2, Zhuohui Chen1,2
1Department of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Insights
Vascular calcification (VC), the hardening of arteries due to calcium deposits, is linked to stroke risk and outcomes. This review explores how large artery calcification impacts stroke and potential prevention strategies.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Vascular Biology
Background:
- Vascular calcification (VC) is a hallmark of vascular aging, involving calcium-phosphate deposition in blood vessels.
- Intimal calcification relates to atherosclerosis and plaque stability, while medial calcification causes arterial stiffening.
- Arterial calcifications, including intracranial, coronary, and carotid arteries, are increasingly associated with stroke risk and prognosis.
Purpose of the Study:
- To review recent findings on the association between large artery calcification and stroke.
- To explore the impact of VC on stroke risk, prognosis, treatment response, and prevention.
- To discuss potential underlying mechanisms linking large artery calcification and stroke.
Main Methods:
- Literature review of recently published studies.
- Synthesis of evidence on vascular calcification and stroke.
- Analysis of proposed mechanisms connecting large artery calcification and stroke outcomes.
Main Results:
- Large artery calcification is associated with increased stroke risk.
- VC impacts stroke prognosis and influences treatment effectiveness.
- Calcifications in large arteries may contribute to cerebral hemodynamic impairment and small vessel disease.
Conclusions:
- Vascular calcification is a significant factor in stroke.
- Understanding the link between large artery calcification and stroke is crucial for prevention and management.
- Further research into the mechanisms of VC in stroke is warranted.
Abstract:
Stroke is a leading cause of death worldwide. Vascular calcification (VC), defined as deposition of calcium-phosphate complexes in the vessels, is considered as the characteristic of vascular aging. Calcifications at different vessel layers have different implications. Intimal calcification is closely related to atherosclerosis and affects plaque stability, while medial calcification can cause arterial stiffening and reduce compliance. Accumulating evidence suggested that arterial calcifications, including calcifications in the intracranial artery, coronary artery, and carotid artery, are associated with the risk, prognosis, and treatment response of stroke. VC can not only serve as a marker of atherosclerosis, but cause cerebral hemodynamic impairment. In addition, calcifications in large arteries are associated with cerebral small vessel disease. In this review, we summarize the findings of recently published studies focusing on the relationship between large artery calcification and the risk, prognosis, treatment response, and prevention of stroke and also discuss possible mechanisms behind those associations.
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