Impaired coronary microvascular function and increased intima-media thickness in rheumatoid arthritis
| Autor: | Ozgur Ciftci, Mustafa Caliskan, Dogan Erdogan, Baris Onder Pamuk, Haldun Muderrisoglu, Semra Topcu, Aylin Yildirir, Sema Yilmaz, Hakan Gullu |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Diastole Arthritis Arthritis Rheumatoid Ventricular Dysfunction Left Coronary Circulation Internal medicine medicine Humans Endothelial dysfunction business.industry Vascular disease Coronary flow reserve Middle Aged medicine.disease Coronary Vessels Echocardiography Doppler Capillaries Surgery Carotid Arteries Intima-media thickness Rheumatoid arthritis Cardiology Female Tunica Intima Tunica Media Cardiology and Cardiovascular Medicine Isovolumic relaxation time business |
| Zdroj: | Atherosclerosis. 198:332-337 |
| ISSN: | 0021-9150 |
| DOI: | 10.1016/j.atherosclerosis.2007.11.013 |
| Popis: | Background Rheumatoid arthritis (RA) is associated with excessive cardiovascular mortality. Recently, some studies have shown endothelial dysfunction in RA patients with high inflammatory activity. In addition, it has been suggested that the chronic inflammatory state of RA contributes to accelerated atherosclerosis. Therefore, we aimed to evaluate whether coronary microvascular dysfunction and increased carotid artery intima-media thickness exist in patients with a long history and well controlled disease activity of RA lacking traditional cardiovascular risk factors. Methods Thirty RA patients (22 women; mean age 43.7 ± 9.0) and 52 healthy volunteers (38 women; mean age 45.3 ± 5.4) were included into the study. Using transthoracic echocardiography, each subject underwent echocardiographic examination including coronary flow reserve (CFR) and carotid intima-media thickness (IMT) measurement. Results CFR values were statistically reduced for RA patients as compared to controls (2.4 ± 0.5 vs. 2.7 ± 0.4, P = 0.002) whereas IMT values were significantly increased (0.6 ± 0.1 vs. 0.5 ± 0.1, P = 0.001). In RA patients, CFR positively correlated with lateral Em/Am ratio (r = 0.399, P = 0.029), and negatively correlated with lateral isovolumic relaxation time (IVRT) (r = −0.744, P = 0.005), IMT (r = −0.542, P = 0.002) and RA disease duration (r = −0.495, P = 0.005). Reflecting LV diastolic function, mitral E-wave deceleration time and isovolumic relaxation time were borderline significant between the groups, however lateral Em/Am ratio and lateral IVRT were statistically different. Conclusions Patients with RA had impaired CFR and increased carotid IMT, and these injurious effects correlated significantly with disease duration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect