КЛИНИЧЕСКОЕ ЗНАЧЕНИЕ ИДИОПАТИЧЕСКОГО КАЛЬЦИНОЗА КОЛЬЦА МИТРАЛЬНОГО КЛАПАНА
https://doi.org/10.20996/1819-6446-2011-7-4-483-486
Аннотация
Идиопатический кальциноз кольца митрального клапана (КМК) — одно из наиболее часто диагностируемых при эхокардиографическом исследовании у взрослых патологических состояний, клиническое значение которого обычно недооценивается, несмотря на существующие доказательства повышенного риска неблагоприятных сердечно-сосудистых событий у больных КМК. Представлена современная оценка связи КМК с другими факторами риска сердечно-сосудистых заболеваний, ишемической болезнью сердца и другими заболеваниями, обусловленными атеросклерозом, а также характеристика некоторых особенностей клиники и ремоделирования сердца, связанных с КМК
Об авторах
Н. С. ЧипигинаРоссия
к.м.н., доцент кафедры факультетской терапии имени акад. А.И. Нестерова
Г. М. Урвачева
Россия
зав. поликлиническим отделением
Н. А. Шостак
Россия
д.м.н., профессор, зав. кафедрой факультетской терапии имени акад. А.И. Нестерова
Список литературы
1. Fox C.S., Vasan R.S., Parise H. et al. Mitral annular calcification predicts cardiovascular morbidity and mortality: the Framingham Heart Study. Circulation 2003;107:1492-6.
2. Kohsaka S., Jin Z., Rundek T. et al. Impact of mitral annular calcification on cardiovascular events in a multiethnic community. The Northern Manhattan Study. JACC Cardiovasc Imaging 2008;1(5):617-23.
3. Gorokhova S.G., Arakeliants A.A. Calcinosis of the heart valves — a chance finding or serious diagnosis? Ter Arkh 2005;77(4):87-90. Russian (Горохова С.Г., Аракелянц А.А. Кальциноз клапанов сердца — случайная находка или серьезный диагноз. Тер архив 2005;4:87-90).
4. Movahed M., Saito Y., Ahmadi-Kashani M., Ebrahimi R. Mitral annulus calcification is associated with valvular and cardiac structural abnormalities. Cardiovasc Ultrasound 2007;5:14
5. Fox C.S., Parise H., Vasan R.S. et al. Mitral annular calcification is a predictor for incident atrial fibrillation. Atherosclerosis 2004;173:291-294.
6. Kanjanauthai S., Nasir K., Katz R. et al. Relationship of mitral annular calcification to cardiovascular risk factors: The Multi-Ethnic Study of Atherosclerosis (MESA). Atherosclerosis 2010; 213(2):558-62.
7. Atar S., Jeon D.S., Luo H., Siegel R.J. Mitral annular calcification: a marker of severe coronary artery disease in patients under 65 years old. Heart 2003;89:161-164.
8. Koster N.K., Reddy Y.M., Schima S.M., Almeida N.J. Gender-specific echocardiographic findings in nonagenarians with cardiovascular disease. Am J Cardiol 2010;105(2):273-6.
9. Sugiura M., Uchiyama S., Kuwako K. et al. A clinicopathological study on mitral ring calcification. Jpn Heart J 1977;18:154-63.
10. Zhang Y., Safar M.E., Iaria P. et al. Cardiac and arterial calcifications and all-cause mortality in the elderly: the PROTEGER Study. Atherosclerosis 2010;213(2):622-6.
11. Ki Woo Seo, Eun Young Kim, Jeong Eun Kim et al. The Impact of Mitral Annular Calcification on Left Ventricular Function in Nonagenarians. Korean Circ J 2010; 40(6): 260–265.
12. Arounlangsy P., Sawabe M., Izumiyama N., Koike M. Histopathogenesis of Early-stage Mitral Annular Calcification. J Med Dent Sci 2004; 51:35-44.
13. Pomerance A Pathological and clinical study of calcification of the mitral valve ring. J Clin Path 1970; 23:354-36.
14. Sell S., Scully R.E. Aging changes in aortic and mitral valves. Histologic and histochemical studies, with observations on the pathogenesis of calcific aortic stenosis and calcification of the mitral annulus. Am J Pathol 1965;46:345-65.
15. Sherif H.M. Calcification of left-sided valvular structures: evidence of a pro-inflammatory milieu. J Heart Valve Dis 2009;18(1):52-60.
16. Candemir B., Ertas F.S., Kaya C.T. et al. Association between antibodies against calcifying nanoparticles and mitral annular calcification. J Heart Valve Dis 2010;19(6):745-52.
17. Boudoulas H., Wooley C.F. eds. Mitral valve: floppy mitral valve, mitral valve prolapse, mitral valve regurgitation. 2nd rev.ed. New York: Futura Publishing company; 2000.
18. Johnson R.C., Leopold J.A., Loscalzo J. Vascular calcification: pathobiological mechanisms and clinical implications. Circ Res 2006;99(10):1044-59.
19. Allison M.A., Cheung P., Criqui M.H. et al. Mitral and aortic annular calcification are highly associated with systemic calcified atherosclerosis. Circulation 2006; 113: 861–866.
20. Balyabin A.A. Disorders of the atrioventricular conduction in the calcification of mitral valve ring. Trudy instituta LenGIDUV im. S.M.Kirova 1986:38-41. Russian (Балябин А.А. Нарушения атриовентрикулярной проводимости при кальцинозе кольца митрального клапана. Труды института Лен-ГИДУВ им. С.М.Кирова 1986:38-41).
21. Benjamin E.J., Plehn J.F., D’Agostino R.B. et al. Mitral annular calcification and the risk of stroke in an elderly cohort. N Engl J Med 1992;327:374-9.
22. Nair C.K., Sudhakaran C., Aronow W.S. et al. Clinical characteristics of patients younger than 60 years with mitral anular calcium: comparison with age- and sex-matched control subjects. Am J Cardiol 1984;54(10):1286-7.
23. Boon A., Cheriex E., Lodder J., Kessels F. Cardiac valve calcification: characteristics of patients with calcification of the mitral annulus or aortic valve. Heart 1997;78:472–474.
24. Asselbergs F.W., Mozaffarian D., Katz R. et al. Association of renal function with cardiac calcifications in older adults: the cardiovascular health study. Nephrol Dial Transplant 2009; 24(3): 834–840.
25. Fulkerson P.K., Beaver B.M., Auseon J.C., Graber H.L. Calcification of the mitral annulus: etiology, clinical associations and therapy. Am J Med 1979; 66(6):967-977.
26. Chu H., Chen J., Guo R. The association between cardiac calcification and coronary artery disease. Acta Cardiol 2009;64(4):531-5.
27. Thanassoulis G., Massaro J.M., Cury R. et al. Associations of long-term and early adult atheroscltro-sis risk factors with aortic and mitral valve calcium. J AM Coll Cardiol 2010;55(22):2491-8.
28. Fox C.S., Guo C.Y., Larson M.G. et al. Relations of inflammation and novel risk factors to valvular calcification. Am J Cardiol 2006;97(10):1502-5.
29. Burke A.P., Kolodgie F.D., Virmani R. Fetuin-A, valve calcification, and diabetes: what do we understand? Circulation 2007;115(19):2464-7.
30. Ix J.H., Chertow G.M., Shlipak M.G. et al. Association of fetuin-A with mitral annular calcification and aortic stenosis among persons with coronary heart disease: data from the Heart and Soul Study. Circulation 2007;115(19):2533-9.
31. Adler Y., Levinger U., Koren A. et al. Association between mitral annulus calcification and peripheral arterial atherosclerotic disease. Angiology 2000;51(8):639-46.
32. Adler Y., Fink N., Spector D. et al. Mitral annulus calcification — a window to diffuse atherosclerosis of the vascular system. Atherosclerosis 2001;155(1):1-8.
33. Adler Y., Koren A., Fink N. et al. Association between mitral annulus calcification and carotid athero-sclerotic disease. Stroke 1998;29:1833-1837.
34. Kannam H., Aronow W.S., Chilappa K. et al. Comparison of prevalence of >70% diameter narrowing of one or more major coronary arteries in patients with versus without mitral annular calcium and clinically suspected coronary artery disease. Am J Cardiol 2008;101(4):467-70.
35. Utsunomiya H., Yamamoto H., Kunita E. et al. Combined presence of aortic valve calcification and mi-tral annular calcification as a marker of the extent and vulnerable characteristics of coronary artery plaque assessed by 64-multidetector computed tomography. Atherosclerosis 2010;213(1):166-72.
36. Pressman G.S., Crudu V., Parameswaran-Chandrika A. Can total cardiac calcium predict the coronary calcium score? Int J Cardiol 2011;146(2):202-6.
37. Kizer J.R., Wiebers D.O., Whisnant J.P. et al. Mitral annular calcification, aortic valve sclerosis, and incident stroke in adults free of clinical cardiovascular disease: the Strong Heart Study. Stroke 2005;36(12):2533-7.
38. Rennenberg R., Kessels A., Schurgers L. et al. Vascular calcifications as a marker of increased cardiovascular risk: A meta-analysis. Vasc Health Risk Manag 2009; 5: 185–197.
39. Bischof T., Schneider J. Degenerative calcification of mitral and aortic valves. Schweiz Rundsch Med Prax 1992;81(19):626-31.
40. Predictors of thromboembolism in atrial fibrillation: II. Echocardiographic features of patients at risk. The Stroke Prevention in Atrial Fibrillation Investigators. Ann Intern Med 1992;116:6–12.
41. Gardin J.M., McClelland R., Kitzman D. et al. M-mode echocardiographic predictors of six- to seven-year incidence of coronary heart disease, stroke, congestive heart failure, and mortality in an elderly cohort (The Cardiovascular Health Study). Am J Cardiol 2001; 87: 1051–1057.
42. Rodriguez C.J., Bartz T.M., Longstreth W.T. et al. Association of Annular Calcification and Aortic Valve Sclerosis With Brain Findings on Magnetic Resonance Imaging in Community Dwelling Older Adults. The Cardiovascular Health Study J Am Coll Cardiol 2011; 57:2172-2180
43. Stein J.H., Soble J.S. Thrombus associated with mitral valve calcification. A possible mechanism for em-bolic stroke. Stroke 1995;26(9):1697-9.
44. Mouton P., Biousse V., Crassard I. et al. Ischemic stroke due to calcific emboli from mitral valve annulus calcification. Stroke 1997;28(11):2325-6.
45. Mellino M., Salcedo E.E., Lever H.M. et al. Echographic-quantified severity of mitral anulus calcification: prognostic correlation to related hemodynamic, valvular, rhythm, and conduction abnormalities. Am Heart J 1982;103(2):222-5.;
46. Muddassir S.M., Pressman G.N. Mitral annular calcification as a cause of mitral valve gradients. Int J Cardiol 2007;123(1):58-62.
47. Ariyarajah V., Apiyasawat S., Barac I., Spodick D.H. Is the presence of mitral annular calcification associated with poor left atrial function? Echocardiography 2009;26(8):877-84.
48. Aslam F., Haque A., Foody J., Shirani J. The frequency and functional impact of overlapping hypertension on hypertrophic cardiomyopathy: a single-center experience. J Clin Hypertens (Greenwich) 2010;12(4):240-5.
49. Foppa M., Duncan B.B., Rohde L. Echocardiography-based left ventricular mass estimation. How should we define hypertrophy? Cardiovascular Ultrasound 2005, 3:17.
50. Vistarini N., d'Alessandro C., Aubert S. et al. Surgery for infective endocarditis on mitral annulus calcification. J Heart Valve Dis 2007;16(6):611-6.
51. Eicher J.C., De Nadai L., Soto F.X. et al. Bacterial endocarditis complicating mitral annular calcification: a clinical and echocardiographic study. J Heart Valve Dis 2004;13(2):217-27.
Рецензия
Для цитирования:
Чипигина Н.С., Урвачева Г.М., Шостак Н.А. КЛИНИЧЕСКОЕ ЗНАЧЕНИЕ ИДИОПАТИЧЕСКОГО КАЛЬЦИНОЗА КОЛЬЦА МИТРАЛЬНОГО КЛАПАНА. Рациональная Фармакотерапия в Кардиологии. 2011;7(4):483-486. https://doi.org/10.20996/1819-6446-2011-7-4-483-486
For citation:
Chipigina N.S., Urvacheva G.M., Shostak N.A. CLINICAL IMPORTANCE OF IDIOPATHIC MITRAL ANNULAR CALCIFICATION. Rational Pharmacotherapy in Cardiology. 2011;7(4):483-486. (In Russ.) https://doi.org/10.20996/1819-6446-2011-7-4-483-486