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    Martha Grogan, M.D.

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Question

Aortic calcification: An early sign of heart valve problems?

Does aortic valve calcification increase the risk of heart disease?

Answer

from Martha Grogan, M.D.

CLICK TO ENLARGE

Image of aortic valve calcification
Aortic valve calcification

Aortic valve calcification (sclerosis) is a condition in which large calcium deposits form on the aortic valve in the heart. These deposits can cause narrowing at the opening of the aortic valve and reduce blood flow through it, causing chest pain or a heart attack. Doctors refer to this narrowing as aortic valve stenosis.

Aortic calcification may be an early sign that you have heart disease, even if you don't have any other heart disease symptoms.

Sclerosis and stenosis typically affect people older than age 65. When it occurs in younger people, it's often caused by:

  • A heart defect that's present at birth
  • Other illnesses, such as kidney failure
  • High cholesterol

A doctor may suspect aortic valve sclerosis or stenosis by hearing a heart murmur with a stethoscope. An ultrasound of the heart (echocardiogram) can help your doctor diagnose whether your murmur is caused by aortic valve stenosis. Another test, the coronary calcium scan, can measure the amount of calcification in your heart, but isn't widely recommended.

Aortic valve sclerosis and mild aortic calcification usually don't cause significant heart problems, but require regular checkups to make sure your condition isn't worsening. It's important to have your cholesterol checked, because you may need medications to lower cholesterol and help prevent aortic valve sclerosis from getting worse. If the valve becomes severely narrowed (stenotic), aortic valve replacement surgery may be necessary.

Next question
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References
  1. Palmiero P, et al. Aortic valve sclerosis: Is it a cardiovascular risk factor or cardiac disease marker? Echocardiography. 2007;24:217.
  2. Conte L, et al. Aortic valve sclerosis: A marker of significant obstructive coronary artery disease in patients with chest pain? 2007;20:703.

HQ00245

Aug. 21, 2009

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