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Evaluation of Diastolic Dysfunction in Rheumatoid Arthritis Patients

Year 2018, Volume: 3 Issue: 3, 117 - 122, 26.12.2018

Özge Turgay Yıldırım Emel Gönüllü Fatih Aydın Ercan Akşit Ayşe Hüseyinoğlu Aydın Evrin Dağtekin

https://doi.org/10.23884/ijhsrp.2018.3.3.03

Abstract

Rheumatoid arthritis (RA) is a chronic,
autoimmune inflammatory disorder which can also affect cardiovascular system.
Cardiovascular system involvement can be seen in many forms such as
pericarditis, myocarditis, coronary artery disease or heart failure. Diastolic
dysfunction is especially important for preserved ejection fraction heart
failure patients. With this study we aim to investigate echocardiographic diastolic
dysfunction parameters in RA patients.77 RA patients and 76 control subjects without
coronary artery disease, heart failure, valvular heart diseases were included
for the study and echocardiography was performed. Interventricular septum
(p=0.041), posterior wall diameter (p=0.008), left ventricular mass index
(p=0.037) values were significantly higher and E wave (p=0.000), E/A (p=0.000),
e’ (p=0.018) values were significantly lower in RA patients compared to control
group. In conclusion echocardiographic diastolic dysfunction parameters were
declined in RA patients.

Keywords

Rheumatoid arthritis Diastolic dysfunction Echocardiography

References

  • [1]Turesson, C., et al., “Extra‑articular disease manifestations in rheumatoid arthritis: Incidence trends and risk factors over 46 years”, Ann Rheum Dis, 62, 722‑727, 2003.
  • [2]Wolfe, F., et al., “The mortality of rheumatoid arthritis”, Arthritis Rheum, 37, 481-494, 1994.
  • [3]Solomon, D.H., et al., “Cardiovascular morbidity and mortality in women diagnosed with rheumatoid arthritis”, Circulation, 107, 1303-1307, 2003.
  • [4]Kaplan, M.J., “Cardiovascular disease in rheumatoid arthritis”, Curr Opin Rheumatol, 18, 289-297, 2006.
  • [5]Nicola, P.J., et al., “The risk of congestive heart failure in rheumatoid arthritis: a population based study over 46 years”, Arthritis & Rheumatology, 52, 412-420, 2005.
  • [6] Nicola, P.J., et al., “Contribution of congestive heart failure and ischemic heart disease to excess mortality in rheumatoid arthritis”, Arthritis & Rheumatism, 54, 60-67, 2006.
  • [7] Avina-Zubieta, J.A., “Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies”, Arthritis Rheum, 59, 1690-1697, 2008.
  • [8]Liao, K.P., Solomon, D.H., “Traditional cardiovascular risk factors, inflammation and cardiovascular risk in rheumatoid arthritis”, Rheumatology, 52, 45-52, 2013.
  • [9]Daviz, J.M., et al., “A signature of aberrant immune responsiveness identifies myocardial dysfunction in rheumatoid arthritis”, Arthritis Rheum, 63, 1497-1506, 2011.
  • [10]Tsang, T.S., “Left atrial volume as a morpho-physiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden”, Am J Cardiol, 90, 1284-1289, 2002.
  • [11]Little, W.C., Cheng, C.P., “Diastolic dysfunction”, Cardiol Rev, 6, 231-239, 1998.
  • [12]Devereux, R.B., et al., “Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings”, Am J Cardiol, 57, 450-458, 1986.
  • [13]Yazmalar, L., et al., “Seasonal disease activity and serum vitamin D levels in rheumatoid arthritis, ankylosing spondylitis and osteoarthritis”, Afr Health Sc, 13, 47-55, 2013.
  • [14]Pincus, T., et al. “Taking mortality in rheumatoid arthritis seriously - predictive markers, socioeconomic status and comorbidity”, J Rheumatol, 13, 841-845, 1986.
  • [15]Mutru, O., et al., “Cardiovascular mortality in patients with rheumatoid arthritis”, Cardiology, 76, 71-77, 1989.
  • [16]Lebowits, W.B., “The heart in rheumatoid arthritis (rheumatoid disease). A clinical and pathological study of 62 cases”, Ann Intern Med, 58, 102-123, 1963.
  • [17]Redfield, M.M., et al., “Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic”, JAMA, 289, 194-202, 2003.
  • [18]Bursi, F., et al., “Systolic and diastolic heart failure in the community”, JAMA, 296, 2209-2216, 2006.
  • [19]Di Franco, M., et al., “Diastolic function abnormalities in rheumatoid arthritis. Evaluation By echo Doppler transmitral flow and pulmonary venous flow: relation with duration of disease”, Ann Rheum Dis, 59, 227-229, 2000.
  • [20]Erdem, F., et al. “Epicardial fat thickness in patients with rheumatoid arthritis”, Afr Health Sci, 15, 489-495, 2015.
  • [21]Udayakumar, N., et al., “Diastolic function abnormalities in rheumatoid arthritis: relation with duration of disease”, Singapore Med J, 48, 537-542, 2007.
  • [22]Rudominer, R.L., et al., “Independent association of rheumatoid arthritis with increased left ventricular mass but not with reduced ejection fraction”, Arthritis Rheum, 60, 22-29, 2009.
  • [23]Myasoedova, E., et al., “Brief report: rheumatoid arthritis is associated with left ventricular concentric remodeling: results of a populationbased cross-sectional study”, Arthritis Rheum, 65, 1713-1718, 2013.
  • [24] Midtbø, H., et al., “Disease activity and left ventricular structure in patients with rheumatoid arthritis”, Rheumatology (Oxford), 54, 511-519, 2015.

Year 2018, Volume: 3 Issue: 3, 117 - 122, 26.12.2018

Özge Turgay Yıldırım Emel Gönüllü Fatih Aydın Ercan Akşit Ayşe Hüseyinoğlu Aydın Evrin Dağtekin

https://doi.org/10.23884/ijhsrp.2018.3.3.03

Abstract

References

  • [1]Turesson, C., et al., “Extra‑articular disease manifestations in rheumatoid arthritis: Incidence trends and risk factors over 46 years”, Ann Rheum Dis, 62, 722‑727, 2003.
  • [2]Wolfe, F., et al., “The mortality of rheumatoid arthritis”, Arthritis Rheum, 37, 481-494, 1994.
  • [3]Solomon, D.H., et al., “Cardiovascular morbidity and mortality in women diagnosed with rheumatoid arthritis”, Circulation, 107, 1303-1307, 2003.
  • [4]Kaplan, M.J., “Cardiovascular disease in rheumatoid arthritis”, Curr Opin Rheumatol, 18, 289-297, 2006.
  • [5]Nicola, P.J., et al., “The risk of congestive heart failure in rheumatoid arthritis: a population based study over 46 years”, Arthritis & Rheumatology, 52, 412-420, 2005.
  • [6] Nicola, P.J., et al., “Contribution of congestive heart failure and ischemic heart disease to excess mortality in rheumatoid arthritis”, Arthritis & Rheumatism, 54, 60-67, 2006.
  • [7] Avina-Zubieta, J.A., “Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies”, Arthritis Rheum, 59, 1690-1697, 2008.
  • [8]Liao, K.P., Solomon, D.H., “Traditional cardiovascular risk factors, inflammation and cardiovascular risk in rheumatoid arthritis”, Rheumatology, 52, 45-52, 2013.
  • [9]Daviz, J.M., et al., “A signature of aberrant immune responsiveness identifies myocardial dysfunction in rheumatoid arthritis”, Arthritis Rheum, 63, 1497-1506, 2011.
  • [10]Tsang, T.S., “Left atrial volume as a morpho-physiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden”, Am J Cardiol, 90, 1284-1289, 2002.
  • [11]Little, W.C., Cheng, C.P., “Diastolic dysfunction”, Cardiol Rev, 6, 231-239, 1998.
  • [12]Devereux, R.B., et al., “Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings”, Am J Cardiol, 57, 450-458, 1986.
  • [13]Yazmalar, L., et al., “Seasonal disease activity and serum vitamin D levels in rheumatoid arthritis, ankylosing spondylitis and osteoarthritis”, Afr Health Sc, 13, 47-55, 2013.
  • [14]Pincus, T., et al. “Taking mortality in rheumatoid arthritis seriously - predictive markers, socioeconomic status and comorbidity”, J Rheumatol, 13, 841-845, 1986.
  • [15]Mutru, O., et al., “Cardiovascular mortality in patients with rheumatoid arthritis”, Cardiology, 76, 71-77, 1989.
  • [16]Lebowits, W.B., “The heart in rheumatoid arthritis (rheumatoid disease). A clinical and pathological study of 62 cases”, Ann Intern Med, 58, 102-123, 1963.
  • [17]Redfield, M.M., et al., “Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic”, JAMA, 289, 194-202, 2003.
  • [18]Bursi, F., et al., “Systolic and diastolic heart failure in the community”, JAMA, 296, 2209-2216, 2006.
  • [19]Di Franco, M., et al., “Diastolic function abnormalities in rheumatoid arthritis. Evaluation By echo Doppler transmitral flow and pulmonary venous flow: relation with duration of disease”, Ann Rheum Dis, 59, 227-229, 2000.
  • [20]Erdem, F., et al. “Epicardial fat thickness in patients with rheumatoid arthritis”, Afr Health Sci, 15, 489-495, 2015.
  • [21]Udayakumar, N., et al., “Diastolic function abnormalities in rheumatoid arthritis: relation with duration of disease”, Singapore Med J, 48, 537-542, 2007.
  • [22]Rudominer, R.L., et al., “Independent association of rheumatoid arthritis with increased left ventricular mass but not with reduced ejection fraction”, Arthritis Rheum, 60, 22-29, 2009.
  • [23]Myasoedova, E., et al., “Brief report: rheumatoid arthritis is associated with left ventricular concentric remodeling: results of a populationbased cross-sectional study”, Arthritis Rheum, 65, 1713-1718, 2013.
  • [24] Midtbø, H., et al., “Disease activity and left ventricular structure in patients with rheumatoid arthritis”, Rheumatology (Oxford), 54, 511-519, 2015.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Article
Authors

Özge Turgay Yıldırım 0000-0002-6731-4958

Emel Gönüllü

Fatih Aydın 0000-0002-1017-1917

Ercan Akşit 0000-0002-4478-4324

Ayşe Hüseyinoğlu Aydın This is me 0000-0002-3056-9981

Evrin Dağtekin This is me 0000-0003-4650-969X

Publication Date December 26, 2018
Submission Date November 10, 2018
Acceptance Date December 12, 2018
Published in Issue Year 2018 Volume: 3 Issue: 3

Cite

IEEE Ö. Turgay Yıldırım, E. Gönüllü, F. Aydın, E. Akşit, A. Hüseyinoğlu Aydın, and E. Dağtekin, “Evaluation of Diastolic Dysfunction in Rheumatoid Arthritis Patients”, IJHSRP, vol. 3, no. 3, pp. 117–122, 2018, doi: 10.23884/ijhsrp.2018.3.3.03.

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