Abstract 2757: Inflammation and Descending Thoracic Aortic Calcification as Detected by Computed Tomography: the Multi-Ethnic Study of Atherosclerosis
Background: Inflammation is related to many stages of atherosclerosis, and inflammation markers have been associated with both atherosclerosis and future cardiovascular events. Descending thoracic aortic calcification (DTAC) is a manifestation of atherosclerosis however, no previous study has examined the relationship of inflammatory markers and DTAC as detected by computed tomography (CT) in a large study. We examined whether C-reactive protein (CRP) and interleukin-6 (IL-6) are independently associated with DTAC.
Methods: The Multi-Ethnic Study of Atherosclerosis (MESA) is a prospective cohort study that includes 6814 women and men ages 45– 84 years old, all free of baseline cardiovascular disease. The inflammation markers CRP and IL-6, and DTAC by CT, quantified by Agatston score, were measured at baseline. .
Results: We studied 6,613 participants with complete data (3112 men, 3501 women, mean age 62±10 years). The prevalence of DTAC was 27%. Participants with TAC had significantly higher levels of both CRP and IL-6. After adjustment for baseline risk factors, CRP was not correlated with presence or severity of DTAC (Adjusted RR per SD, 1.01;95% confidence intervals 0.97;1.05) while IL-6 was correlated (adjusted RR per SD, 1.07, 95% confidence intervals 1.02;1.14).
Conclusions: IL-6, a systemic inflammatory marker, is related to the presence and extent of DTAC. Further studies are needed to evaluate the interaction between DTAC and inflammation markers as predictors of future cardiovascular events.