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Arterial stiffness is associated with left ventricular dysfunction in patients with rheumatoid arthritis

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Abstract

Arterial stiffness (AS) has a detrimental effect on cardiovascular system particularly on left ventricle (LV). The aim of the study was to evaluate the impact of AS on LV functions in patients with rheumatoid arthritis (RA). Forty patients with RA and 25 age-sex matched control subjects (mean age 48.5 ± 6.3 vs. 45.1 ± 6.9 years, respectively, p = 0.06) were enrolled in study. AS was assessed by carotid-femoral pulse wave velocity (CF-PWV) and heart rate corrected augmentation index (AIx@75) measured by applanation tonometry (SphygmoCor). LV function was evaluated using tissue Doppler-derived myocardial performance index (MPI) from lateral mitral annulus. CF-PWV (28.3 ± 10.3 vs. 21.8 ± 9.3 m/s, p = 0.03), AIx@75 (10.2 ± 2.3 vs. 9.2 ± 1, %, p = 0.01) and MPI (0.46 ± 0.12 vs. 0.36 ± 0.1, p < 0.001) were significantly higher in patients with RA than in controls. LV MPI was found to be significantly positive correlated with CF-PWV, AIx@75, and ESR (r = 0.360, p = 0.005; r = 0.334, p = 0.009; r = 0.293, p = 0.023, respectively). Arterial stiffness parameters including CF-PWV and AIx@75 are associated with subclinical left ventricular dysfunction in patients with RA.

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Authors and Affiliations

  1. Departments of Cardiology, Sanliurfa Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey

    Abdulselam Ilter

  2. Departments of Cardiology, Faculty of Medicine, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey

    Abdulkadir Kiris

  3. Departments of Physical Medicine and Rehabilitation, Division of Rheumatology, Faculty of Medicine, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey

    Murat Karkucak & Omer Faruk Serdar

  4. Departments of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey

    Mursel Sahin

  5. Departments of Internal Medicine, Division of Rheumatology, Sanliurfa Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey

    Yunus Ugan

Authors
  1. Abdulselam Ilter
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  2. Abdulkadir Kiris
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  3. Murat Karkucak
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  4. Mursel Sahin
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  5. Omer Faruk Serdar
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  6. Yunus Ugan
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Correspondence to Abdulselam Ilter.

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Informed consent was obtained from each subject for participation in the study. The study protocol was approved by the Institutional Ethics Committee.

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Ilter, A., Kiris, A., Karkucak, M. et al. Arterial stiffness is associated with left ventricular dysfunction in patients with rheumatoid arthritis. Clin Rheumatol 35, 2663–2668 (2016). https://doi.org/10.1007/s10067-015-3163-z

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  • DOI: https://doi.org/10.1007/s10067-015-3163-z

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