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. 2024 Mar;114(3):210-221.
doi: 10.1007/s00223-023-01171-3. Epub 2024 Jan 19.

Is Osteogenesis Imperfecta Associated with Cardiovascular Abnormalities? A Systematic Review of the Literature

Sara J E Verdonk  1   2   3 , Silvia Storoni  1   2   3 , Dimitra Micha  2   3   4   5 , Joost G van den Aardweg  6 , Paolo Versacci  7 , Luca Celli  5   7 , Ralph de Vries  8 , Lidiia Zhytnik  2   3   4   5   9 , Otto Kamp  10 , Marianna Bugiani  11 , Elisabeth M W Eekhoff  12   13   14   15
Affiliations

Is Osteogenesis Imperfecta Associated with Cardiovascular Abnormalities? A Systematic Review of the Literature

Sara J E Verdonk et al. Calcif Tissue Int. 2024 Mar.

Abstract

Osteogenesis imperfecta (OI) is a rare genetic disorder caused by abnormal collagen type I production. While OI is primarily characterized by bone fragility and deformities, patients also have extraskeletal manifestations, including an increased risk of cardiovascular disease. This review provides a comprehensive overview of the literature on cardiovascular diseases in OI patients in order to raise awareness of this understudied clinical aspect of OI and support clinical guidelines. In accordance with the PRISMA guidelines, a systematic literature search in PubMed, Embase, Web of Science and Scopus was conducted that included articles from the inception of these databases to April 2023. Valvular disease, heart failure, atrial fibrillation, and hypertension appear to be more prevalent in OI than in control individuals. Moreover, a larger aortic root was observed in OI compared to controls. Various cardiovascular diseases appear to be more prevalent in OI than in controls. These cardiovascular abnormalities are observed in all types of OI and at all ages, including young children. As there are insufficient longitudinal studies, it is unknown whether these abnormalities are progressive in nature in OI patients. Based on these findings, we would recommend referring individuals with OI to a cardiologist with a low-threshold.

Keywords: Aortic root dilatation; Cardiovascular disease; Collagen type I; Osteogenesis imperfecta.

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Conflict of interest statement

S.J.E. Verdonk, S. Storoni, D. Micha, J.G. van den Aardweg, P. Versacci, L. Celli, R. de Vries, L. Zhytnik, O. Kamp, M. Bugiani and E.M.W. Eekhoff declare that they have no conflict of interest.

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Flow chart of the study selection process
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