Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran
Background: Cardiovascular disease is one of the extra-articular manifestations of rheumatoid arthritis (RA) that is the most common cause of death in these patients. So we decided to evaluate RA patients in terms of history, clinical examination, electrocardiography, and echocardiography to determi...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-05-01
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| Series: | Indian Heart Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215003946 |
| _version_ | 1819095094243885056 |
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| author | Irandokht Shenavar Masooleh Habib Zayeni Asghar Haji-Abbasi Manouchehr Azarpira Ali Hadian Amir Hassankhani Banafsheh Ghavidel Parsa |
| author_facet | Irandokht Shenavar Masooleh Habib Zayeni Asghar Haji-Abbasi Manouchehr Azarpira Ali Hadian Amir Hassankhani Banafsheh Ghavidel Parsa |
| author_sort | Irandokht Shenavar Masooleh |
| collection | DOAJ |
| description | Background: Cardiovascular disease is one of the extra-articular manifestations of rheumatoid arthritis (RA) that is the most common cause of death in these patients. So we decided to evaluate RA patients in terms of history, clinical examination, electrocardiography, and echocardiography to determine the prevalence of types of cardiac involvements in these patients.
Methods: 100 consecutive patients, diagnosed with RA, referred to rheumatology clinic in Razi referral hospital of Rasht, Iran, were enrolled.
Complete physical examination of the joints was performed in all subjects to evaluate the remission of disease. Signs and symptoms of possible cardiac involvement were evaluated in patients by taking history and erythrocyte sedimentation rate test; moreover, an expert cardiologist performed complete cardiovascular examination in all participants. Then, all subjects were referred to a same center for electrocardiography and echocardiography. Finally, analysis was performed by using chi-square and t tests.
Results: 23 (23%) males and 77 (77%) females were included in this study. Tachycardia, dyspnea, and chest pain were the most cardiac signs and symptoms of patients. 32 subjects had abnormal findings in electrocardiogram. The most abnormal findings in patient's ECG were ST interval and T wave changes. Abnormal findings in echocardiography were observed in 74 participants. Pericardial involvement and ventricular dysfunction were the most abnormal findings in patient's echocardiography. We found a significant relation between duration of RA disease and abnormal echocardiography findings (p < 0.05).
Conclusion: This study indicates the high prevalence of cardiac involvement in RA patients. |
| first_indexed | 2024-12-21T23:37:50Z |
| format | Article |
| id | doaj.art-cb0ad2b967c145a68c143404fd688030 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-21T23:37:50Z |
| publishDate | 2016-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-cb0ad2b967c145a68c143404fd6880302022-12-21T18:46:19ZengElsevierIndian Heart Journal0019-48322016-05-0168333233510.1016/j.ihj.2015.08.030Cardiac involvement in rheumatoid arthritis: A cross-sectional study in IranIrandokht Shenavar Masooleh0Habib Zayeni1Asghar Haji-Abbasi2Manouchehr Azarpira3Ali Hadian4Amir Hassankhani5Banafsheh Ghavidel Parsa6Rheumatology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranRheumatology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranRheumatology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranCardiovascular Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranRheumatology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranMedical Student, Student Research Center, Guilan University of Medical Sciences, Rasht, IranRheumatology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IranBackground: Cardiovascular disease is one of the extra-articular manifestations of rheumatoid arthritis (RA) that is the most common cause of death in these patients. So we decided to evaluate RA patients in terms of history, clinical examination, electrocardiography, and echocardiography to determine the prevalence of types of cardiac involvements in these patients. Methods: 100 consecutive patients, diagnosed with RA, referred to rheumatology clinic in Razi referral hospital of Rasht, Iran, were enrolled. Complete physical examination of the joints was performed in all subjects to evaluate the remission of disease. Signs and symptoms of possible cardiac involvement were evaluated in patients by taking history and erythrocyte sedimentation rate test; moreover, an expert cardiologist performed complete cardiovascular examination in all participants. Then, all subjects were referred to a same center for electrocardiography and echocardiography. Finally, analysis was performed by using chi-square and t tests. Results: 23 (23%) males and 77 (77%) females were included in this study. Tachycardia, dyspnea, and chest pain were the most cardiac signs and symptoms of patients. 32 subjects had abnormal findings in electrocardiogram. The most abnormal findings in patient's ECG were ST interval and T wave changes. Abnormal findings in echocardiography were observed in 74 participants. Pericardial involvement and ventricular dysfunction were the most abnormal findings in patient's echocardiography. We found a significant relation between duration of RA disease and abnormal echocardiography findings (p < 0.05). Conclusion: This study indicates the high prevalence of cardiac involvement in RA patients.http://www.sciencedirect.com/science/article/pii/S0019483215003946Rheumatoid arthritisCardiac abnormalitiesElectrocardiographyEchocardiography |
| spellingShingle | Irandokht Shenavar Masooleh Habib Zayeni Asghar Haji-Abbasi Manouchehr Azarpira Ali Hadian Amir Hassankhani Banafsheh Ghavidel Parsa Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran Indian Heart Journal Rheumatoid arthritis Cardiac abnormalities Electrocardiography Echocardiography |
| title | Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran |
| title_full | Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran |
| title_fullStr | Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran |
| title_full_unstemmed | Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran |
| title_short | Cardiac involvement in rheumatoid arthritis: A cross-sectional study in Iran |
| title_sort | cardiac involvement in rheumatoid arthritis a cross sectional study in iran |
| topic | Rheumatoid arthritis Cardiac abnormalities Electrocardiography Echocardiography |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215003946 |
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