Across rheumatic diseases

Sex and menopausal status differences in coronary calcification and extra-coronary computed tomography findings in inflammatory arthritis

Clin Exp RheumatolPublished Cross-sectional study

Main finding · CAC ≥100Result — go to the resultOdds ratio 0.29 95% CI 0.17–0.49

Authors' conclusion

Sex and menopausal status are associated with coronary and extra-coronary CT abnormalities in IA patients.

Study context

Population
Inflammatory arthritis (IA) patients aged >40 years without prior CVD31% male, 14% pre-, 55% post-menopausal
Participants
597 patients
Exposure
Males vs pre-menopausal females vs post-menopausal females with IA
Outcome
CAC score by the Agatston method (0, 1-99, ≥100)
Methodological detailsmultivariable logistic regression
  • Multivariable logistic regression

Main finding

CAC ≥100

Odds ratio

0.29

95% CI 0.17–0.49

By group

Post-menopausal femalesvs Males
OR 0.29 (95% CI 0.17–0.49)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Aortic calcification and aortic enlargement

Aortic calcification in post-menopausal females (more)
44%
Aortic enlargement in post-menopausal females (more)
23%
P value (both)
all p≤0.001
Post-menopausal associations with aortic changes not significant after adjustment

Left main, circumflex and right coronary calcification

More in males
P ≤ 0.001

Original publication

Sex and menopausal status differences in coronary calcification and extra-coronary computed tomography findings in inflammatory arthritis. Clin Exp Rheumatol. Published 10 March 2026. doi:10.55563/clinexprheumatol/1jusyn

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