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Calcific valvular aortic stenosis with and without mitral anular calcium.

Publication ,  Journal Article
Nair, CK; Sketch, MH; Ahmed, I; Thomson, W; Ryschon, K; Woodruff, MP; Runco, V
Published in: Am J Cardiol
October 1, 1987

Seventy-six consecutive patients, mean age 66 +/- 9 years (+/- standard deviation), with isolated aortic valve replacement for calcific valvular aortic stenosis (AS) were studied. Mitral anular calcium (MAC) was detected by echocardiography in 45 patients (59%). Patients with MAC were older (p less than 0.01), had greater peak systolic aortic valve gradients (p less than 0.025), lower cardiac indexes (p less than 0.025) and smaller valve areas (p less than 0.05) than patients without MAC. Thirty-three percent of patients (15 of 45) with MAC required permanent pacemaker implantation after aortic valve replacement, compared with only 10% of patients (3 of 31) without MAC (p less than 0.025). During the follow-up of 7 years (mean 3.8 +/- 1.6), 27% of patients (12 of 45) with MAC died from cardiac causes, compared to only 7% (2 of 31) without MAC (p less than 0.025). Thus, patients with AS and MAC are older, have more severe AS, more frequently undergo permanent pacemaker implantation after aortic valve replacement and more frequently die of cardiac causes than patients with AS and no MAC during follow-up.

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

October 1, 1987

Volume

60

Issue

10

Start / End Page

865 / 870

Location

United States

Related Subject Headings

  • Pacemaker, Artificial
  • Mitral Valve
  • Middle Aged
  • Male
  • Humans
  • Heart Valve Prosthesis
  • Heart Valve Diseases
  • Follow-Up Studies
  • Female
  • Electrocardiography
 

Citation

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Chicago
ICMJE
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Nair, C. K., Sketch, M. H., Ahmed, I., Thomson, W., Ryschon, K., Woodruff, M. P., & Runco, V. (1987). Calcific valvular aortic stenosis with and without mitral anular calcium. Am J Cardiol, 60(10), 865–870. https://doi.org/10.1016/0002-9149(87)91038-1
Nair, C. K., M. H. Sketch, I. Ahmed, W. Thomson, K. Ryschon, M. P. Woodruff, and V. Runco. “Calcific valvular aortic stenosis with and without mitral anular calcium.Am J Cardiol 60, no. 10 (October 1, 1987): 865–70. https://doi.org/10.1016/0002-9149(87)91038-1.
Nair CK, Sketch MH, Ahmed I, Thomson W, Ryschon K, Woodruff MP, et al. Calcific valvular aortic stenosis with and without mitral anular calcium. Am J Cardiol. 1987 Oct 1;60(10):865–70.
Nair, C. K., et al. “Calcific valvular aortic stenosis with and without mitral anular calcium.Am J Cardiol, vol. 60, no. 10, Oct. 1987, pp. 865–70. Pubmed, doi:10.1016/0002-9149(87)91038-1.
Nair CK, Sketch MH, Ahmed I, Thomson W, Ryschon K, Woodruff MP, Runco V. Calcific valvular aortic stenosis with and without mitral anular calcium. Am J Cardiol. 1987 Oct 1;60(10):865–870.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

October 1, 1987

Volume

60

Issue

10

Start / End Page

865 / 870

Location

United States

Related Subject Headings

  • Pacemaker, Artificial
  • Mitral Valve
  • Middle Aged
  • Male
  • Humans
  • Heart Valve Prosthesis
  • Heart Valve Diseases
  • Follow-Up Studies
  • Female
  • Electrocardiography