Abnormalities in left ventricular diastolic function in male patients with rheumatoid arthritis without clinically evident cardiovascular disease

European Journal of Clinical Investigation
J MustonenE Länsimies

Abstract

Epidemiological studies have suggested that patients with rheumatoid arthritis (RA) have increased mortality due to cardiovascular disease. We studied cardiac performance in 12 asymptomatic male patients with RA and 14 control subjects to elucidate early disturbances in cardiac function. In echocardiography, isovolumic relaxation time was longer (64 +/- 6 vs. 49 +/- 3 ms, mean +/- SEM, P = 0.010) and peak filling rate (134 +/- 10 vs. 159 +/- 6 mm s-1, P = 0.015) lower in patients with RA than in control subjects, reflecting an impairment in left ventricular diastolic function. Left ventricular systolic function assessed by radionuclide angiocardiography at rest and during exercise was similar in both groups. There were no differences between the patients with RA and control subjects in the heart rate, systolic blood pressure and oxygen uptake during peak exercise. Left ventricular diastolic function is impaired in spite of normal left ventricular systolic function in patients with RA without clinically evident cardiovascular disease and this may contribute to the excess of cardiovascular mortality in patients with RA.

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Citations

Oct 25, 2007·Rheumatology International·M WislowskaM Sztechman
Sep 29, 2011·Rheumatology International·Bülent KocaOzden Calay
May 24, 2005·Zeitschrift für Rheumatologie·A Hagendorff, D Pfeiffer
Feb 27, 2004·The American Journal of Medicine·Frederick Wolfe, Kaleb Michaud
Feb 10, 2011·International Journal of Rheumatic Diseases·Abo Malek Abdul MuizzHeselynn Hussein
Dec 17, 2008·Annals of the Rheumatic Diseases·S E Gabriel
Oct 7, 2005·Arthritis Research & Therapy·Jon T GilesJoan M Bathon
Jun 13, 2009·Arthritis Research & Therapy·Sherine E Gabriel, Kaleb Michaud
Feb 16, 2005·Expert Opinion on Investigational Drugs·Gurbir S BhatiaGregory Y H Lip
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Sep 25, 2012·Arthritis Care & Research·Fawad AslamMahboob Alam
Mar 30, 2005·Autonomic Neuroscience : Basic & Clinical·L B WilsonS R Barnes
Oct 20, 2006·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Miguel A Gonzalez-GayJavier Martin
Mar 11, 2015·European Journal of Internal Medicine·Salvatore CorraoFrancesco Perticone
Sep 17, 2013·Drug Discovery Today. Disease Mechanisms·Michael N Sack

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