Coronary Artery Calcification
2014; Elsevier BV; Volume: 63; Issue: 17 Linguagem: Inglês
10.1016/j.jacc.2014.01.017
ISSN1558-3597
AutoresMahesh V. Madhavan, Madhusudhan Tarigopula, Gary S. Mintz, Akiko Maehara, Gregg W. Stone, Philippe Généreux,
Tópico(s)Aortic aneurysm repair treatments
ResumoCoronary artery calcification (CAC) is a risk factor for adverse outcomes in the general population and in patients with coronary artery disease. The pathogenesis of CAC and bone formation share common pathways, and risk factors have been identified that contribute to the initiation and progression of CAC. Efforts to control CAC with medical therapy have not been successful. Event-free survival is also reduced in patients with coronary calcification after both percutaneous coronary intervention (PCI) and bypass graft surgery. Although drug-eluting stents and devices for plaque modification have modestly improved outcomes in calcified vessels, adverse event rates are still high. Innovative pharmacologic and device-based approaches are needed to improve the poor prognosis of patients with CAC.
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