Differences Between Mitral Annular Calcification with and Without Caseation

Dawod Sharif Cardiology, Bnai Zion Medical Center, Haifa, Israel Elias Azzam Cardiology, Bnai Zion Medical Center, Haifa, Israel Mustafa Ganaim Cardiology, Bnai Zion Medical Center, Haifa, Israel Yasmine Sharif Faculty of Medicine, Technion, Haifa, Israel Amal Sharif-Rasslan Science and Technology, Technion, Haifa, Israel Uri Rosenschein Cardiology, Bnai Zion Medical Center, Haifa, Israel

Mitral annular annular calcification (MAC) with caseation (MACC) may be misdiagnosed for other entities.

Aim: To examine the relation between MACC and MAC. Methods: 19000 echocardiographic studies were screened; 12 MACC and 211 with heavy MAC subjects were found.

Results: Heavy MAC was 17.6 folds more prevalent than MACC and women were the majority in both groups (75% in MACC and 83% in MAC, p=ns). MACC subjects were younger, 76.5±9 vs 81.4±9 yrs, p=0.08, had higher prevalence of hypertension (100%) and hyperlipidemia (91%) vs 86% and 56% respectively, p

Conclusions: MACC is a rare entity and like heavy MAC more prevalent in elderly women but with higher prevalence of hypertension and hyperlipidemia. Stroke, peripheral vascular disease and hemodilaysis were encountered only in MAC patients.

Presentation

Dawod Sharif

Bnai Zion Medical Center