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Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study

This pilot study presents a retrospective analysis of 10 asymptomatic patients with a positive calcium score who received a series of intravenous calcium ethylenediaminetetraacetic acid (EDTA) chelations. Current standards for cardiovascular risk stratification include assessments of cholesterol, bl...

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Autores principales: Petteruti, Stephen J, Frazzini, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549777/
https://www.ncbi.nlm.nih.gov/pubmed/37799264
http://dx.doi.org/10.7759/cureus.44657
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author Petteruti, Stephen J
Frazzini, Vincent
author_facet Petteruti, Stephen J
Frazzini, Vincent
author_sort Petteruti, Stephen J
collection PubMed
description This pilot study presents a retrospective analysis of 10 asymptomatic patients with a positive calcium score who received a series of intravenous calcium ethylenediaminetetraacetic acid (EDTA) chelations. Current standards for cardiovascular risk stratification include assessments of cholesterol, blood pressure, blood sugar, lifestyle, obesity, and family history. Despite addressing traditional risk factors, myocardial infarctions and cerebrovascular accidents remain the leading causes of death and disability worldwide. Asymptomatic decay of the vascular system is a prelude to catastrophic events, and calcium scores are emerging as a significant adjunct for risk assessment. Positive calcium scores correlate with an increased risk of cardiovascular events. However, there are no therapies known to reliably reverse calcium scores. Previous studies have demonstrated that intravenous chelation therapy reduces cardiovascular morbidity and mortality in patients with a prior history of myocardial infarction; however, its mechanism of action is unknown. One theory is that chelation therapy would reverse calcium buildup in coronary arteries, which is known to have a positive correlation with the risk of having a cardiovascular event. The 10 patients had no prior history of coronary artery disease. Infusions were administered in an outpatient setting. Patients were encouraged to receive a treatment every month. No other supplements or prescriptions were required as part of the treatment. An average of 26.9 chelations were administered over an average of 37.9 months. Calcium scores decreased by an average of 27.38%, and all 10 patients experienced a reduction in scores.  This study demonstrates that chelation has the potential to reduce calcium scores. Since calcium scores correlate with cardiovascular risk, reducing the calcium score may reduce the risk of an event. If these results are supported by larger, placebo-controlled studies, chelation therapy may become an option that could be added to statins and other FDA-approved therapies for primary prevention in patients with a positive calcium score.
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spelling pubmed-105497772023-10-05 Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study Petteruti, Stephen J Frazzini, Vincent Cureus Cardiology This pilot study presents a retrospective analysis of 10 asymptomatic patients with a positive calcium score who received a series of intravenous calcium ethylenediaminetetraacetic acid (EDTA) chelations. Current standards for cardiovascular risk stratification include assessments of cholesterol, blood pressure, blood sugar, lifestyle, obesity, and family history. Despite addressing traditional risk factors, myocardial infarctions and cerebrovascular accidents remain the leading causes of death and disability worldwide. Asymptomatic decay of the vascular system is a prelude to catastrophic events, and calcium scores are emerging as a significant adjunct for risk assessment. Positive calcium scores correlate with an increased risk of cardiovascular events. However, there are no therapies known to reliably reverse calcium scores. Previous studies have demonstrated that intravenous chelation therapy reduces cardiovascular morbidity and mortality in patients with a prior history of myocardial infarction; however, its mechanism of action is unknown. One theory is that chelation therapy would reverse calcium buildup in coronary arteries, which is known to have a positive correlation with the risk of having a cardiovascular event. The 10 patients had no prior history of coronary artery disease. Infusions were administered in an outpatient setting. Patients were encouraged to receive a treatment every month. No other supplements or prescriptions were required as part of the treatment. An average of 26.9 chelations were administered over an average of 37.9 months. Calcium scores decreased by an average of 27.38%, and all 10 patients experienced a reduction in scores.  This study demonstrates that chelation has the potential to reduce calcium scores. Since calcium scores correlate with cardiovascular risk, reducing the calcium score may reduce the risk of an event. If these results are supported by larger, placebo-controlled studies, chelation therapy may become an option that could be added to statins and other FDA-approved therapies for primary prevention in patients with a positive calcium score. Cureus 2023-09-04 /pmc/articles/PMC10549777/ /pubmed/37799264 http://dx.doi.org/10.7759/cureus.44657 Text en Copyright © 2023, Petteruti et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Petteruti, Stephen J
Frazzini, Vincent
Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title_full Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title_fullStr Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title_full_unstemmed Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title_short Reduction of Calcium Scores Using Intravenous Chelation: A Retrospective Pilot Study
title_sort reduction of calcium scores using intravenous chelation: a retrospective pilot study
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549777/
https://www.ncbi.nlm.nih.gov/pubmed/37799264
http://dx.doi.org/10.7759/cureus.44657
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