Summary
The annual incidence of clinically manifest pericarditis was found to be 0.34% in 157 females and 0.44% in 77 males with rheumatoid arthritis, observed for a mean time of 5.7 years. The development of pericarditis was independent of disease duration, but was related to extensive joint involvement, subcutaneous nodules, and a high Waaler Rose titre. Concomitant pleural effusion was present in four of five patients. Pericarditis in rheumatoid arthritis may indicate a serious prognosis quo ad vitam. Four of the five patients died within eight years, but their age at death was relatively high (62–73 years).
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References
Hurd ER (1979) Extraarticular manifestations of rheumatoid arthritis. Semin Arthritis Rheum 3:151–176
Turner RA, Collins R, Nomeir AM (1978/79) Extra-articular manifestations of rheumatoid arthritis. Bull Rheum Dis 29:986–998
Iveson JMI, Pomerance A (1977) Cardiac involvement in rheumatoid arthritis. Clin Rheum Dis 3:467–500
Khan AH, Spodick DH (1972) Rheumatoid heart disease. Semin Arthritis Rheum 1:327–337
Wilkinson M (1962) Rheumatoid pericarditis. A report of four cases. Br Med J 2:1723–1726
Kirk J, Cosh J (1969) The pericarditis of rheumatoid arthritis. Q J Med 38:397–423
Gordon DA, Stein JL, Broder I (1973) The extra-articular features of rheumatoid arthritis. A systemic analysis of 127 cases. Am J Med 54:445–452
Fingerman DL, Andrus FC (1943) Visceral lesions associated with rheumatoid arthritis. Ann Rheum Dis 3:168–181
Young D, Schwedel JB (1944) The heart in rheumatoid arthritis — a study of thirty-eight autopsy cases. Am Heart J 28:1–23
Nomeir AM, Turner R, Watts E, Smith D, West G, Edmond J (1973) Cardiac involvement in rheumatoid arthritis. Ann Intern Med 79:800–806
Prakash R, Atassi A, Poske R, Rosen KM (1973) Prevalence of pericardial effusion and mitral valve involvement in patients with rheumatoid arthritis without cardiac symptoms. N Engl J Med 289:597–600
Bacon PA, Gibson DG (1974) Cardiac involvement in rheumatoid arthritis. An echocardiographic study. Ann Rheum Dis 33:20–24
MacDonald WJ, Crawford MH, Klippel JH, Zwaifler NJ, O'Rourke RA (1977) Echocardiographic assessment of cardiac structure and function in patients with rheumatoid arthritis. Am J Med 63/6:890–896
Jurik AG, Davidsen D, Graudal H (1982) Prevalence of pulmonary involvement in rheumatoid arthritis and its relationship to some characteristics of the patients. A radiological and clinical study. Scand J Rheumatol 11:217–224
Jurik AG, Davidsen D, Graudal H (1984) Prevalence of cardiac and aortic enlargement in rheumatoid arthritis and its relationship to some characteristics of the patients. Rheumatol Int 5:15–19
Amundsen P (1959) The diagnostic value of conventional radiological examination of the heart in adults. Acta Radiol [Suppl] (Stockh) 181:6–21
Lusted LB, Keats TE (1978) Atlas of roentgenographic measurements. Year Book Medical Publishers, Chicago London
Lipman BS, Massie E, Kleiger RE (1972) Clinical scalar electrocardiography, 6th edn. Year Book Medical Publishers, Chicago
Jurik AG, Graudal HG (1983) Pleurisy in rheumatoid arthritis. Scand J Rheumatol 12:75–80
Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol [Diagn] (Stockh) 18:481–491
Thadani U, Iveson JMI, Wright V (1975) Cardiac tamponade, constrictive pericarditis and pericardial resection in rheumatoid arthritis. Medicine 54:261–270
Franco AE, Levine HD, Hall AP (1972) Rheumatoid pericarditis. Report of 17 cases diagnosed clinically. Ann Intern Med 77:837–844
Vroninks P, Cats A, Goslings J (1972). Les péricardites de la polyarthrite rheumatoïde. A propos d'une étude de 19 cas. Rev Rhum 39:351–357
Lebowitz WB (1963) The heart in rheumatoid arthritis. A clinical and pathological study of 62 cases. Ann Intern Med 58:102–123
Grossman LA, Kaplan HJ, Ownby FD, Grossman M (1962) Acute pericarditis. With subsequent clinical rheumatoid arthritis. Arch Intern Med 19:665–672
Burney DP, Martin CE, Thomas CS, Fisher RD, Bender HW (1979) Rheumatoid pericarditis. Clinical significance and operative management. J Thorac Cardiovasc Surg 77:511–515
Hart FD, Golding JR, MacKenzie DH (1957) Neuropathy in rheumatoid disease. Ann Rheum Dis 16:471–480
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Jurik, A.G., Graudal, H. Pericarditis in rheumatoid arthritis. Rheumatol Int 6, 37–42 (1986). https://doi.org/10.1007/BF00270663
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DOI: https://doi.org/10.1007/BF00270663