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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

Lu H, Lary CW, Hodonsky CJ, Peyser PA, Bos D, van der Laan SW, Miller CL, Rivadeneira F, Kiel DP, Kavousi M, Medina-Gomez C
J Bone Miner Res 2024 May 2;39(4):443-452. doi: 10.1093/jbmr/zjae022. PMID: 38477752Free PMC Article
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
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
Halliburton SS, Stillman AE, White RD
Cleve Clin J Med 2002;69 Suppl 3:S6-11. doi: 10.3949/ccjm.69.suppl_3.s6. PMID: 12086233

Diagnosis

Calverley PMA, Walker PP
Respirology 2023 May;28(5):428-436. Epub 2023 Mar 15 doi: 10.1111/resp.14489. PMID: 36922031
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
Osawa K, Nakanishi R, Budoff M
Glob Heart 2016 Sep;11(3):287-293. doi: 10.1016/j.gheart.2016.08.001. PMID: 27741976Free PMC Article
McEvoy JW, Martin SS, Blaha MJ, Polonsky TS, Nasir K, Kaul S, Greenland P, Blumenthal RS
JACC Cardiovasc Imaging 2016 Aug;9(8):994-1002. doi: 10.1016/j.jcmg.2016.03.012. PMID: 27491486

Therapy

Lu H, Lary CW, Hodonsky CJ, Peyser PA, Bos D, van der Laan SW, Miller CL, Rivadeneira F, Kiel DP, Kavousi M, Medina-Gomez C
J Bone Miner Res 2024 May 2;39(4):443-452. doi: 10.1093/jbmr/zjae022. PMID: 38477752Free PMC Article
Tobias JH
Curr Osteoporos Rep 2023 Oct;21(5):519-526. Epub 2023 Jul 25 doi: 10.1007/s11914-023-00810-w. PMID: 37490188Free 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
McEvoy JW, Martin SS, Blaha MJ, Polonsky TS, Nasir K, Kaul S, Greenland P, Blumenthal RS
JACC Cardiovasc Imaging 2016 Aug;9(8):994-1002. doi: 10.1016/j.jcmg.2016.03.012. PMID: 27491486

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
Ruospo M, Palmer SC, Natale P, Craig JC, Vecchio M, Elder GJ, Strippoli GF
Cochrane Database Syst Rev 2018 Aug 22;8(8):CD006023. doi: 10.1002/14651858.CD006023.pub3. PMID: 30132304Free 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
Khera AV, Emdin CA, Drake I, Natarajan P, Bick AG, Cook NR, Chasman DI, Baber U, Mehran R, Rader DJ, Fuster V, Boerwinkle E, Melander O, Orho-Melander M, Ridker PM, Kathiresan S
N Engl J Med 2016 Dec 15;375(24):2349-2358. Epub 2016 Nov 13 doi: 10.1056/NEJMoa1605086. PMID: 27959714Free PMC Article
Gaston WR, Fred HL
Dis Chest 1968 Jul;54(1):71-2. doi: 10.1378/chest.54.1.71. PMID: 5663476

Clinical prediction guides

Lu H, Lary CW, Hodonsky CJ, Peyser PA, Bos D, van der Laan SW, Miller CL, Rivadeneira F, Kiel DP, Kavousi M, Medina-Gomez C
J Bone Miner Res 2024 May 2;39(4):443-452. doi: 10.1093/jbmr/zjae022. PMID: 38477752Free PMC Article
Zair AM, Bouzouad Cherfa A, Cherfa Y, Belkhamsa N
Med Biol Eng Comput 2023 Jul;61(7):1687-1696. Epub 2023 Mar 4 doi: 10.1007/s11517-023-02797-z. PMID: 36871109
Llewellyn O, Williams MC
Rofo 2022 Aug;194(8):833-840. Epub 2022 Mar 10 doi: 10.1055/a-1752-0577. PMID: 35272359
Lechner K, Halle M, Scherr J, Drezner JA
Eur J Prev Cardiol 2020 May;27(8):882-884. Epub 2019 Oct 11 doi: 10.1177/2047487319881700. PMID: 31604400
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

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
Vazirian F, Sadeghi M, Wang D, Javidi Dashtbayaz R, Gholoobi A, Samadi S, Mohammadpour AH
BMC Cardiovasc Disord 2023 Feb 21;23(1):96. doi: 10.1186/s12872-023-03123-z. PMID: 36809976Free PMC Article
Sheikh AS, Connolly DL, Abdul F, Varma C, Sharma V
Minerva Cardiol Angiol 2023 Dec;71(6):643-652. Epub 2021 Oct 29 doi: 10.23736/S2724-5683.21.05776-8. PMID: 34713678
Hao W, Wang X, Fan J, Zeng Y, Ai H, Nie S, Wei Y
Ann Med 2021 Dec;53(1):302-317. doi: 10.1080/07853890.2021.1875137. PMID: 33522282Free PMC Article
Ruospo M, Palmer SC, Natale P, Craig JC, Vecchio M, Elder GJ, Strippoli GF
Cochrane Database Syst Rev 2018 Aug 22;8(8):CD006023. doi: 10.1002/14651858.CD006023.pub3. PMID: 30132304Free PMC Article

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