Incidence of congestive heart failure in rheumatoid arthritis: a review of literature and meta‐regression analysis

Autor: Alan Kaell, Keith Brown, Neethi R. Dasu, Kirti Dasu, Yaser Khalid, Adam Levine, Albert Raminfard, Ankit Shah
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: ESC Heart Failure, Vol 7, Iss 6, Pp 3745-3753 (2020)
ESC Heart Failure
ISSN: 2055-5822
Popis: Aims Rheumatoid arthritis (RA) is a systemic inflammatory autoimmune disorder that not only affects peripheral joints but also increases the risk for cardiovascular disease (CVD) and mortality. Heart failure (HF) appears to be one of the most important contributors to the excess mortality risk among patients with RA. We assessed the incidence of HF in patients with RA compared with age‐matched and sex‐matched non‐RA subjects, after accounting for traditional cardiovascular risk factors and clinical ischemic heart disease. Methods and results We performed an aggregate analysis on three studies of RA patients having listed manifestations of HF. We performed a meta‐regression analysis to evaluate the incidence of HF in RA patients with increased age and noted for any gender correlation. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using both fixed‐effects and random‐effects models. In the cumulative analysis of 5, 220, 883 patients, the incidence of HF was noted to be almost two‐fold higher in patients with RA compared with a matched control population (OR 1.78, 95% CI 1.22–2.60, P
Databáze: OpenAIRE