0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Calcium in the Aortic Valve: Roentgenologic and Hemodynamic Correlations in 148 Patients

D. LUKE GLANCY, M.D., F.A.C.P.; THOMAS A. FREED, M.D.; KEVIN P. O'BRIEN, M.B., M.R.C.P.; and STEPHEN E. EPSTEIN, M.D.
Ann Intern Med. 1969;71(2):245-250. doi:10.7326/0003-4819-71-2-245
Text Size: A A A
SUMMARY:

The extent of aortic valvular calcification, graded roentgenologically, was correlated with hemodynamic severity as assessed by cardiac catheterization in 148 patients over age 35 who had aortic valvular disease. Each of 55 patients with extensive calcium seen on roentgenogram had severe aortic valvular disease: 29 had stenosis without significant regurgitation, 25 had stenosis and regurgitation, and 1 had pure regurgitation. Many of the 54 patients with small amounts of calcium seen on roentgenogram or with calcium seen only at fluoroscopy had severe aortic valvular disease, but in 12 of them it was hemodynamically mild. Of 39 patients in whom calcium could not be demonstrated either fluoroscopically or on roentgenograms, 12 had severe aortic regurgitation, but only 1 had severe aortic stenosis. The extent of aortic valvular calcification in general correlated with the peak systolic transvalvular pressure gradient but did not correlate with the degree of aortic regurgitation, and calcium was usually absent in patients with pure regurgitation regardless of its severity. Roentgenologic assessment of aortic valvular calcification provides useful information for evaluating patients suspected of having aortic valvular disease.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)