Login
Search
Search
0 Dates
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Assessing the role of aortic valve calcium score in patients with severe aortic stenosis and chronic kidney disease
Session:
SESSÃO DE POSTERS 16 - DIAGNÓSTICO E PROGNÓSTICO NA ESTENOSE AÓRTICA
Speaker:
C. Santos-Jorge
Congress:
CPC 2025
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
15. Valvular Heart Disease
Subtheme:
15.3 Valvular Heart Disease – Diagnostic Methods
Session Type:
Cartazes
FP Number:
---
Authors:
C. Santos-Jorge; Rui Miguel Gomes; Márcia Presume; André Moniz Garcia; Ana Rita Bello; Maria Rita Lima; Rita Amador; Rita Almeida Carvalho; Samuel Azevedo; Marisa Trabulo; Rui Campante Teles; Jorge Ferreira
Abstract
<p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><u><span style="font-size:10.5pt">Background:</span></u><span style="font-size:10.5pt"> </span></span></span></span><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-size:10.5pt">Patients with chronic kidney disease (CKD) are at an increased risk of developing aortic valve disease, with an accelerated progression of aortic stenosis (AS). The aortic valve calcium score (AVCS) complements echocardiographic findings in assessing AS severity. This study aimed to investigate the relationship between AVCS, AS severity, and CKD stages to determine whether advancing CKD correlates with increased valvular calcification and stenosis severity.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><u><span style="font-size:10.5pt">Methods:</span></u><span style="font-size:10.5pt"> </span></span></span></span><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-size:10.5pt">Retrospective analysis of 305 non-elective hospitalized patients who underwent TAVI in a single tertiary center between January 2020 and December 2023. Patients were categorized into their respective CKD stage based on clinical records. To access AS severity, we evaluated mean gradient (MG), aortic valve area (AVA) and AVCS.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><u><span style="font-size:10.5pt">Results:</span></u><span style="font-size:10.5pt"> </span></span></span></span><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-size:10.5pt">A total of 305 patients were included, 55% (n=169) women, age 82±7 years. CKD was present in 124 patients (41%), 3 stage I, 27 stage II, 65 stage III, 22 stage IV and 8 stage V. The median mean gradient, aortic valve area and AVCS were 46 (IQR 39-58) mmHg, 0.7 (0.5-0.9) cm<sup>2</sup> and 2622 (1842-3659) AU, respectively. Our analysis showed no significant difference in mean gradient, aortic valve area and AVCS in patients according to their CKD stage (figure 1). </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><u><span style="font-size:10.5pt">Conclusions:</span></u><span style="font-size:10.5pt"> </span></span></span></span><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-size:10.5pt">Our analysis reveals that patients with CKD do not exhibit worse echocardiographic parameters compared to those without CKD, and that AVCS remains unaffected by renal dysfunction. Consequently, patients with CKD should be assessed using the same AVCS thresholds for severe AS as those used for individuals with normal renal function.</span></span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site