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Coronary artery calcification

MedGen UID:
345985
Concept ID:
C1611184
Finding; Pathologic Function
Synonym: Calcification of coronary arteries
SNOMED CT: Calcification of coronary artery (445512009)
 
HPO: HP:0001717

Definition

An accumulation of calcium and phosphate in arteries with mineral deposits in the intimal or medial layer of the vessel wall in a coronary artery. [from HPO]

Term Hierarchy

Conditions with this feature

Alkaptonuria
MedGen UID:
1413
Concept ID:
C0002066
Disease or Syndrome
Alkaptonuria is caused by deficiency of homogentisate 1,2-dioxygenase, an enzyme that converts homogentisic acid (HGA) to maleylacetoacetic acid in the tyrosine degradation pathway. The three major features of alkaptonuria are dark urine or urine that turns dark on standing, ochronosis (bluish-black pigmentation in connective tissue), and arthritis of the spine and larger joints. Ochronosis generally occurs after age 30 years; arthritis often begins in the third decade. Other manifestations can include pigment in the sclera, ear cartilage, and skin of the hands; aortic or mitral valve calcification or regurgitation and occasionally aortic dilatation; renal stones; prostate stones; and hypothyroidism.
Hereditary arterial and articular multiple calcification syndrome
MedGen UID:
347132
Concept ID:
C1859372
Disease or Syndrome
Adult-onset calcification of the lower extremity arteries (CALJA), including the iliac, femoral, and tibial arteries, and hand and foot capsule joints, is an autosomal recessive condition that represents only the second mendelian disorder of isolated calcification (see generalized arterial calcification of infancy (GACI), 208000). Age of onset has been reported as early as the second decade of life, usually involving intense joint pain or calcification in the hands (St. Hilaire et al., 2011).
Arterial calcification, generalized, of infancy, 2
MedGen UID:
477791
Concept ID:
C3276161
Disease or Syndrome
Generalized arterial calcification of infancy (GACI) is characterized by infantile onset of widespread arterial calcification and/or narrowing of large and medium-sized vessels resulting in cardiovascular findings (which can include heart failure, respiratory distress, edema, cyanosis, hypertension, and/or cardiomegaly). Additional findings can include typical skin and retinal manifestations of pseudoxanthoma elasticum (PXE), periarticular calcifications, development of rickets after infancy, cervical spine fusion, and hearing loss. While mortality in infancy is high, survival into the third and fourth decades has occurred.
Arterial calcification, generalized, of infancy, 1
MedGen UID:
1631685
Concept ID:
C4551985
Disease or Syndrome
Generalized arterial calcification of infancy (GACI) is characterized by infantile onset of widespread arterial calcification and/or narrowing of large and medium-sized vessels resulting in cardiovascular findings (which can include heart failure, respiratory distress, edema, cyanosis, hypertension, and/or cardiomegaly). Additional findings can include typical skin and retinal manifestations of pseudoxanthoma elasticum (PXE), periarticular calcifications, development of rickets after infancy, cervical spine fusion, and hearing loss. While mortality in infancy is high, survival into the third and fourth decades has occurred.

Professional guidelines

PubMed

Aengevaeren VL, Mosterd A, Sharma S, Prakken NHJ, Möhlenkamp S, Thompson PD, Velthuis BK, Eijsvogels TMH
Circulation 2020 Apr 21;141(16):1338-1350. Epub 2020 Apr 20 doi: 10.1161/CIRCULATIONAHA.119.044467. PMID: 32310695Free PMC Article
Cobin RH, Goodman NF; AACE Reproductive Endocrinology Scientific Committee
Endocr Pract 2017 Jul;23(7):869-880. doi: 10.4158/EP171828.PS. PMID: 28703650
Jellinger PS, Handelsman Y, Rosenblit PD, Bloomgarden ZT, Fonseca VA, Garber AJ, Grunberger G, Guerin CK, Bell DSH, Mechanick JI, Pessah-Pollack R, Wyne K, Smith D, Brinton EA, Fazio S, Davidson M
Endocr Pract 2017 Apr;23(Suppl 2):1-87. doi: 10.4158/EP171764.APPGL. PMID: 28437620

Recent clinical studies

Etiology

Wang J, Huang X, Fu C, Sheng Q, Liu P
Cardiovasc Diabetol 2022 Sep 16;21(1):187. doi: 10.1186/s12933-022-01615-4. PMID: 36114495Free PMC Article
Aengevaeren VL, Mosterd A, Sharma S, Prakken NHJ, Möhlenkamp S, Thompson PD, Velthuis BK, Eijsvogels TMH
Circulation 2020 Apr 21;141(16):1338-1350. Epub 2020 Apr 20 doi: 10.1161/CIRCULATIONAHA.119.044467. PMID: 32310695Free PMC Article
Shaikh K, Nakanishi R, Kim N, Budoff MJ
J Cardiovasc Comput Tomogr 2019 Nov-Dec;13(6):353-359. Epub 2018 Oct 2 doi: 10.1016/j.jcct.2018.10.002. PMID: 30322775
Lamarche MC, Hopman WM, Garland JS, White CA, Holden RM
Nephrol Dial Transplant 2019 Oct 1;34(10):1715-1722. doi: 10.1093/ndt/gfy183. PMID: 30010904
Mori H, Torii S, Kutyna M, Sakamoto A, Finn AV, Virmani R
JACC Cardiovasc Imaging 2018 Jan;11(1):127-142. doi: 10.1016/j.jcmg.2017.10.012. PMID: 29301708

Diagnosis

Calverley PMA, Walker PP
Respirology 2023 May;28(5):428-436. Epub 2023 Mar 15 doi: 10.1111/resp.14489. PMID: 36922031
Wang J, Huang X, Fu C, Sheng Q, Liu P
Cardiovasc Diabetol 2022 Sep 16;21(1):187. doi: 10.1186/s12933-022-01615-4. PMID: 36114495Free PMC Article
Sasaki KI, Fukumoto Y
J Cardiol 2022 May;79(5):596-604. Epub 2021 Dec 11 doi: 10.1016/j.jjcc.2021.10.013. PMID: 34906433
Greenland P, Blaha MJ, Budoff MJ, Erbel R, Watson KE
J Am Coll Cardiol 2018 Jul 24;72(4):434-447. doi: 10.1016/j.jacc.2018.05.027. PMID: 30025580Free PMC Article
Sekikawa A, Curb JD, Edmundowicz D, Okamura T, Choo J, Fujiyoshi A, Masaki K, Miura K, Kuller LH, Shin C, Ueshima H
J Epidemiol 2012;22(3):188-98. Epub 2012 Apr 7 doi: 10.2188/jea.je20110138. PMID: 22485011Free PMC Article

Therapy

Murali S, Smith ER, Tiong MK, Tan SJ, Toussaint ND
J Am Heart Assoc 2023 Dec 5;12(23):e031676. Epub 2023 Nov 28 doi: 10.1161/JAHA.123.031676. PMID: 38014685Free PMC Article
Bressendorff I, Hansen D, Schou M, Kragelund C, Svensson M, Hashemi B, Kristensen T, Vrist MH, Borg R, Tougaard B, Borg K, Hjortkjær HØ, Kristiansen CH, Carlson N, Nasiri M, Ashraf H, Pasch A, Brandi L
J Am Soc Nephrol 2023 May 1;34(5):886-894. Epub 2023 Feb 2 doi: 10.1681/ASN.0000000000000092. PMID: 36749131Free PMC Article
Isaka Y, Hamano T, Fujii H, Tsujimoto Y, Koiwa F, Sakaguchi Y, Tanaka R, Tomiyama N, Tatsugami F, Teramukai S
J Am Soc Nephrol 2021 Mar;32(3):723-735. Epub 2021 Feb 5 doi: 10.1681/ASN.2020050598. PMID: 33547218Free PMC Article
Mori H, Torii S, Kutyna M, Sakamoto A, Finn AV, Virmani R
JACC Cardiovasc Imaging 2018 Jan;11(1):127-142. doi: 10.1016/j.jcmg.2017.10.012. PMID: 29301708
Jellinger PS, Handelsman Y, Rosenblit PD, Bloomgarden ZT, Fonseca VA, Garber AJ, Grunberger G, Guerin CK, Bell DSH, Mechanick JI, Pessah-Pollack R, Wyne K, Smith D, Brinton EA, Fazio S, Davidson M
Endocr Pract 2017 Apr;23(Suppl 2):1-87. doi: 10.4158/EP171764.APPGL. PMID: 28437620

Prognosis

Wang J, Huang X, Fu C, Sheng Q, Liu P
Cardiovasc Diabetol 2022 Sep 16;21(1):187. doi: 10.1186/s12933-022-01615-4. PMID: 36114495Free PMC Article
Sung KC, Hong YS, Lee JY, Lee SJ, Chang Y, Ryu S, Zhao D, Cho J, Guallar E, Lima JAC
Heart 2021 Nov;107(21):1710-1716. Epub 2021 Sep 20 doi: 10.1136/heartjnl-2021-319346. PMID: 34544807
Shaikh K, Nakanishi R, Kim N, Budoff MJ
J Cardiovasc Comput Tomogr 2019 Nov-Dec;13(6):353-359. Epub 2018 Oct 2 doi: 10.1016/j.jcct.2018.10.002. PMID: 30322775
Mori H, Torii S, Kutyna M, Sakamoto A, Finn AV, Virmani R
JACC Cardiovasc Imaging 2018 Jan;11(1):127-142. doi: 10.1016/j.jcmg.2017.10.012. PMID: 29301708
Henein M, Granåsen G, Wiklund U, Schmermund A, Guerci A, Erbel R, Raggi P
Int J Cardiol 2015 Apr 1;184:581-586. Epub 2015 Feb 24 doi: 10.1016/j.ijcard.2015.02.072. PMID: 25769003

Clinical prediction guides

Kang J, Kim S, Chang Y, Kim Y, Jung HS, Ryu S
Eur Heart J Cardiovasc Imaging 2022 Dec 19;24(1):17-24. doi: 10.1093/ehjci/jeac184. PMID: 36063434
Faggiano P, Dasseni N, Gaibazzi N, Rossi A, Henein M, Pressman G
Eur J Prev Cardiol 2019 Jul;26(11):1191-1204. Epub 2019 Mar 7 doi: 10.1177/2047487319830485. PMID: 30845832
Lamarche MC, Hopman WM, Garland JS, White CA, Holden RM
Nephrol Dial Transplant 2019 Oct 1;34(10):1715-1722. doi: 10.1093/ndt/gfy183. PMID: 30010904
Andrews J, Psaltis PJ, Bartolo BAD, Nicholls SJ, Puri R
Trends Cardiovasc Med 2018 Nov;28(8):491-501. Epub 2018 May 2 doi: 10.1016/j.tcm.2018.04.007. PMID: 29753636
Nakahara T, Dweck MR, Narula N, Pisapia D, Narula J, Strauss HW
JACC Cardiovasc Imaging 2017 May;10(5):582-593. doi: 10.1016/j.jcmg.2017.03.005. PMID: 28473100

Recent systematic reviews

Tajani A, Sadeghi M, Omidkhoda N, Mohammadpour AH, Samadi S, Jomehzadeh V
BMC Cardiovasc Disord 2024 Apr 10;24(1):204. doi: 10.1186/s12872-024-03856-5. PMID: 38600488Free PMC Article
Murali S, Smith ER, Tiong MK, Tan SJ, Toussaint ND
J Am Heart Assoc 2023 Dec 5;12(23):e031676. Epub 2023 Nov 28 doi: 10.1161/JAHA.123.031676. PMID: 38014685Free PMC Article
Liang S, Wang C, Zhang J, Liu Z, Bai Y, Chen Z, Huang H, He Y
Cardiovasc Diabetol 2023 Jul 6;22(1):170. doi: 10.1186/s12933-023-01906-4. PMID: 37415168Free PMC Article
Fallahzadeh A, Ramezeni Tehrani F, Rezaee M, Mahboobifard F, Amiri M
Biomarkers 2023 Sep;28(6):486-501. Epub 2023 Jun 12 doi: 10.1080/1354750X.2023.2223365. PMID: 37309096
Pluquet M, Kamel S, Choukroun G, Liabeuf S, Laville SM
Toxins (Basel) 2022 Sep 15;14(9) doi: 10.3390/toxins14090637. PMID: 36136575Free PMC Article

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