Current Hypertension Reports

, Volume 14, Issue 3, pp 228–237 | Cite as

Vascular Calcification: Pathophysiology and Risk Factors

CARDIOVASCULAR RISK AND HYPERTENSION (PW de LEEUW AND AH GRADMAN, SECTION EDITORS)

Abstract

Vascular calcification can occur in nearly all arterial beds and in both the medial and intimal layers. The initiating factors and clinical consequences depend on the underlying disease state and location of the calcification. The best studied manifestation is coronary artery calcification, in part because of the obvious clinical consequences, but also because of CT-based imaging modalities. In the general population, the presence of coronary artery calcification increases cardiovascular risk above that predicted by traditional Framingham risk factors, suggesting the presence of nontraditional risk factors. In patients with chronic kidney disease (CKD), coronary artery calcification is more prevalent and markedly more severe than in the general population. In these CKD patients, nontraditional risk factors such as oxidative stress, advanced glycation end products, and disordered mineral metabolism are also more prevalent and more severe and offer mechanistic insight into the pathogenesis of vascular calcification.

Keywords

Hypertension Diabetes Vascular calcification Chronic kidney disease (CKD) Traditional risk factors Nontraditional risk factors Inflammation Mineral metabolism Dyslipidemia Calcium Phosphorus Cardiovascular risk Pathophysiology 

Notes

Disclosure

Dr. Chen has received grant support from Genzyme Corp. and has received royalties from Amgen.

Dr. Moe has served as a consultant for and received honoraria from Genzyme Corp., Shire, Amgen, and Citrolink; has been paid for providing expert testimony by Fitzpatrick; has received grant support from Genzyme Corp., Shire, and Amgen; holds stock/stock options in Eli Lilly and Company; and has had travel/accommodations expenses covered/reimbursed by Shire, Genzyme Corp., and Amgen.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Division of Nephrology, Department of MedicineIndiana University School of MedicineIndianapolisUSA
  2. 2.Division of Nephrology, Department of MedicineIndiana University School of MedicineIndianapolisUSA

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