Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy

Background. Calcium pyrophosphate crystal deposition disease (CPPD) may be associated with developing of diastolic dysfunction (DD). Aim. To determine the variability of echocardiographic parameters in patients with CPPD receiving anti-inflammatory therapy. Materials and methods. Twenty six pa...

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Main Authors: Maxim S. Eliseev, Olga V. Zheliabina, Irina G. Kirillova, Yulia O. Korsakova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2023-07-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/551820/132628
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author Maxim S. Eliseev
Olga V. Zheliabina
Irina G. Kirillova
Yulia O. Korsakova
author_facet Maxim S. Eliseev
Olga V. Zheliabina
Irina G. Kirillova
Yulia O. Korsakova
author_sort Maxim S. Eliseev
collection DOAJ
description Background. Calcium pyrophosphate crystal deposition disease (CPPD) may be associated with developing of diastolic dysfunction (DD). Aim. To determine the variability of echocardiographic parameters in patients with CPPD receiving anti-inflammatory therapy. Materials and methods. Twenty six patients with CPPD and osteoarthritis (OA) from 18 to 65 years old were included in the case-control study. All patients underwent echocardiography, laboratory parameters at baseline and after 6 months. Patients with CPPD received methotrexate 15 mg per week or hydroxychloroquine 200 mg once a day, or colchicine 1 mg per day. Diastolic function according to echocardiography was assessed. Results. Diastolic dysfunction was detected in 19 patients: in 11 (42%) patients with CPPD and 8 (31%) patients with OA (p=0.39). The baseline serum CRP level was higher in the CPPD group (p=0.03), no differences were found for other indicators. Twenty-two patients with CPPD and 19 patients with OA completed the study. In patients with OA, there were no significant changes in indicators reflecting the diastolic function of ventricles. Conclusion. CPPD therapy with colchicine, hydroxychloroquine and methotrexate has a positive effect on indicators of diastolic ventricular function.
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spelling doaj.art-6f2fb17606464d50a7b8d6b44bb71e522023-07-25T11:14:52Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422023-07-0195538639110.26442/00403660.2023.05.20220278292Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapyMaxim S. Eliseev0https://orcid.org/0000-0003-1191-5831Olga V. Zheliabina1https://orcid.org/0000-0002-5394-7869Irina G. Kirillova2https://orcid.org/0000-0002-1003-2087Yulia O. Korsakova3https://orcid.org/0000-0002-3052-7466Nasonova Research Institute of RheumatologyNasonova Research Institute of RheumatologyNasonova Research Institute of RheumatologyNasonova Research Institute of RheumatologyBackground. Calcium pyrophosphate crystal deposition disease (CPPD) may be associated with developing of diastolic dysfunction (DD). Aim. To determine the variability of echocardiographic parameters in patients with CPPD receiving anti-inflammatory therapy. Materials and methods. Twenty six patients with CPPD and osteoarthritis (OA) from 18 to 65 years old were included in the case-control study. All patients underwent echocardiography, laboratory parameters at baseline and after 6 months. Patients with CPPD received methotrexate 15 mg per week or hydroxychloroquine 200 mg once a day, or colchicine 1 mg per day. Diastolic function according to echocardiography was assessed. Results. Diastolic dysfunction was detected in 19 patients: in 11 (42%) patients with CPPD and 8 (31%) patients with OA (p=0.39). The baseline serum CRP level was higher in the CPPD group (p=0.03), no differences were found for other indicators. Twenty-two patients with CPPD and 19 patients with OA completed the study. In patients with OA, there were no significant changes in indicators reflecting the diastolic function of ventricles. Conclusion. CPPD therapy with colchicine, hydroxychloroquine and methotrexate has a positive effect on indicators of diastolic ventricular function.https://ter-arkhiv.ru/0040-3660/article/viewFile/551820/132628diastolic dysfunctioncalcium pyrophosphate crystal deposition diseaseosteoarthritismethotrexatehydroxychloroquinecolchicine
spellingShingle Maxim S. Eliseev
Olga V. Zheliabina
Irina G. Kirillova
Yulia O. Korsakova
Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
Терапевтический архив
diastolic dysfunction
calcium pyrophosphate crystal deposition disease
osteoarthritis
methotrexate
hydroxychloroquine
colchicine
title Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
title_full Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
title_fullStr Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
title_full_unstemmed Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
title_short Diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti-inflammatory therapy
title_sort diastolic dysfunction of ventricles in patients with calcium pyrophosphate crystal deposition disease while receiving anti inflammatory therapy
topic diastolic dysfunction
calcium pyrophosphate crystal deposition disease
osteoarthritis
methotrexate
hydroxychloroquine
colchicine
url https://ter-arkhiv.ru/0040-3660/article/viewFile/551820/132628
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