Pulmonary hypertension in rheumatoid arthritis

Scandinavian Journal of Rheumatology
G KeserE Doganavsargil

Abstract

Using Doppler echocardiography (DE), we measured pulmonary arterial systolic pressure (PASP) in rheumatoid arthritis (RA) patients without coexisting cardiopulmonary diseases. Accepting the normal upper limit of PASP as 30 mmHg, we found elevated PASP in 11 out of 40 (27.5%) RA patients, values being mostly 30-40 mmHg, indicating mild pulmonary hypertension (PHT). Although estimation of PASP by DE is not as reliable as cardiac catheterisation, it is possible that mild elevations in PASP may contribute to the high incidence of cardiovascular events not explained by traditional cardiac risk factors in patients with RA. Long-term follow-up will be obviously necessary to ascertain the impact of mild PHT on the prognosis and mortality rate of RA patients.

References

Dec 14, 2002·American Journal of Respiratory and Critical Care Medicine·Selim M ArcasoyRobert M Kotloff

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Citations

May 26, 2010·Annals of the Rheumatic Diseases·Kimberly P LiangSherine E Gabriel
Oct 7, 2005·Arthritis Research & Therapy·Jon T GilesJoan M Bathon
Feb 11, 2014·Autoimmune Diseases·Senol KobakErtuğurul Ercan
Apr 8, 2014·International Journal of Cardiology·Cengiz OzturkAtila Iyisoy
Jan 15, 2015·Respirology : Official Journal of the Asian Pacific Society of Respirology·Saghar SadeghiSindhu R Johnson
Apr 4, 2015·Rheumatic Diseases Clinics of North America·Yon K Sung, Lorinda Chung
Jun 22, 2013·Seminars in Arthritis and Rheumatism·Sophie MavrogeniGeorge D Kitas
Oct 28, 2016·Arthritis & Rheumatology·Jorge A Zamora-LegoffEric L Matteson
May 24, 2005·Zeitschrift für Rheumatologie·A Hagendorff, D Pfeiffer
Mar 3, 2015·European Respiratory Review : an Official Journal of the European Respiratory Society·Megan ShawGanesh Raghu
Aug 29, 2019·Nature Reviews. Rheumatology·Dan WangRobert Vassallo
Jul 28, 2007·Scandinavian Journal of Rheumatology·F WolfeK Michaud

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