Osteoporosis, bone & mineral

Increased prevalence of coronary artery calcification in patients with post-surgical hypoparathyroidism

J Bone Miner ResPublished Cross-sectional study

Main finding · Coronary atherosclerotic plaquesResult — go to the resultAdjusted difference in prevalence 24 percentage points

Authors' conclusion

In conclusion, chronic post-surgical hypoparathyroidism is associated with an increased burden of atherosclerosis, which may explain the increased cardiovascular risk.

Study context

Population
Patients with chronic post-surgical hypoparathyroidism (mean age 60 [range 31–84] years, 86% female, median duration 12 [range 5–49] years) and matched general-population controlsage- and sex-matched
Participants
50 vs 50
Exposure
Chronic post-surgical hypoparathyroidism vs general-population controls
  • Hypoparathyroidismn = 50
  • Controlsn = 50reference
Outcome
Coronary artery disease on coronary CT angiography
Methodological detailsage- and sex-matched controls, coronary CT angiography
  • Age- and sex-matched controls
  • Coronary CT angiography

Main finding

Coronary atherosclerotic plaques

Adjusted difference in prevalence

24 percentage points

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

eGFR · lower with Hypoparathyroidism

P = 0.04

Antihypertensive medication · more frequent with Hypoparathyroidism

P = 0.05

Severe coronary artery disease (coronary artery calcium score ≥400)

P = 0.02

Aortic valve calcification · more often with Hypoparathyroidism

P < 0.01

Lipid-lowering therapy
P = 0.07
Calcifications of the ascending and descending aorta
P < 0.01

Lipid-lowering therapy

Use of lipid-lowering therapy was more frequent

Diabetes, smoking status and arterial stiffness (carotid-femoral wave velocity)

Did not differ between groups

Original publication

Increased prevalence of coronary artery calcification in patients with post-surgical hypoparathyroidism. J Bone Miner Res. Published 23 June 2026. doi:10.1093/jbmr/zjag102

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