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Echocardiographic evaluation of patients with rheumatoid arthritis

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Summary

Mode M echocardiograms in 34 consecutive adult RA patients revealed no significant differences with the findings obtained in 18 normal controls of similar age and sex. One patient had an 11 mm separation between the anterior chest wall and the right ventricle suggestive of a 350 ml pericardial effusion but had no corresponding findings between the posterior left ventricular wall and the pericardium. In this patient the electrocardiogram showed low voltage and the chest roentgenogram an enlarged cardiac silhouette. The differences between these series and other series reported in the literature may reflect ethnic and therapeutic differences between the respective RA populations.

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References

  1. Bonfiglio, T.S., Atwater, E.C. Heart disease in patients with seropositive rheumatoid arthritis. A controlled autopsy study and review. Arch Intern Med, 1969, 124, 714–719.

    Article  PubMed  CAS  Google Scholar 

  2. Levowitz, W.B. The heart in rheumatoid arthritis (rheumatoid disease). A clinical and pathological study in 62 cases. Ann Intern Med, 1963, 58, 102–123.

    PubMed  Google Scholar 

  3. Kirk, J.S., Cosh, J. The pericarditis of rheumatoid arthritis. Am J Med, 1969, 38, 297.

    Google Scholar 

  4. Cathcart, E.S.S., Spodick, D.H. Rheumatoid heart disease. A study of the incidence and nature of cardiac lesions in rheumatoid arthritis. N Engl J Med, 1962, 266, 959–964.

    Article  PubMed  CAS  Google Scholar 

  5. Gordon, D.A., Stern, J.L.S., Broder, I. The extra-articular features of rheumatoid arthritis. A systematic analysis of 127 cases. Am J Med, 1973, 54, 445–452.

    Article  PubMed  CAS  Google Scholar 

  6. Feigenbaum, H., Waldhausen, J.A.S., Hyde, L.P. Ultrasound diagnosis of pericardial effusion. JAMA, 1965, 191, 711–714.

    PubMed  CAS  Google Scholar 

  7. Bacon, P.A.S., Gibson, D.G. Cardiac involvement in rheumatoid arthritis. An echocardiographic study. Ann Rheum Dis, 1974, 33, 20–24.

    Article  PubMed  CAS  Google Scholar 

  8. Prakash, R., Atassi, A., Poske, R. et al. Prevalence of pericardial effusion and mitral valve involvement in patients with rheumatoid arthritis without cardiac symptoms. An echocardiographic evaluation. N Engl J Med, 1973, 289, 597–600.

    Article  PubMed  CAS  Google Scholar 

  9. Nomeir, A., Turner, R., Watts, E., et al. Cardiac involvement in rheumatoid arthritis. Ann Intern Med, 1973, 79, 800.

    PubMed  CAS  Google Scholar 

  10. Mc Donald, W.S., Crowford, M.H., Klippel, J.H., et al. Echocardiographic assessment of cardiac structure and function in patients with rheumatoid arthritis. Am J Med, 1977, 63, 890.

    Article  PubMed  Google Scholar 

  11. Thadani, U., Iveson, J.M.I., Wright, V. Cardiac tamponade, constrictive pericarditis and pericardial resection in rheumatoid arthritis. Medicine, 1975, 54, 261–270.

    PubMed  CAS  Google Scholar 

  12. Nomeir, A., Turner, R.A.S., Watts, L.E. Cardiac involvement in rheumatoid arthritis. Follow-up study. Arthritis Rheum 1979, 22, 561–564.

    PubMed  CAS  Google Scholar 

  13. Davia, J.E., Chitlin, M.D., De Castro, C.U., et al. Absence of echocardiographic abnormalities of the anterior mitral valve in rheumatoid arthritis. Ann Intern Med, 1975, 83, 500–502.

    PubMed  CAS  Google Scholar 

  14. Hernández López, E., Chanhine, R.A., Anastassiades, P., et al. Echocardiographic study of the cardiac involvement in rheumatoid arthritis. Chest, 1977, 72, 52–55.

    PubMed  Google Scholar 

  15. Ropes, M., Bennet, R.A., Cobb, S., et al. Revision of diagnostic criteria for rheumatoid arthritis. Arthritis Rheum. 1958, 2, 16.

    Google Scholar 

  16. Feigenbaum, H. Echocardiography. Lea & Febiger, Third Edition, 1980, 51–76.

  17. Sahn, D.J., De Maria, A., Kisslo, J., et al. (The Committee on M-mode standardization of the American Society of Echocardiography) Recommendations regarding quantitation in M-mode echocardiography; results of a survey of echocardiographic measurements. Circulation, 1978, 58, 1072.

    PubMed  CAS  Google Scholar 

  18. Horowitz, M.S., Schultz, C.S., Stinson, E.G., et al. Sensitivity and specificity of echocardiographic diagnosis of pericardial effusion. Circulation, 1974, 50, 239–247.

    PubMed  CAS  Google Scholar 

  19. Pombo, J.F., Troy, B.L., Russell, R.O., Jr. Left ventricular volumes and ejection fraction by echocardiography. Circulation, 1971, 43, 480–490.

    PubMed  CAS  Google Scholar 

  20. Fortuin, N.J., Hood, W.P., Craige, E. Evaluation of left ventricular function by echocardiography. Circulation, 1962, 46, 2635.

    Google Scholar 

  21. Troy, B.L., Pombo, J.S., Rackely, C.E. Measurement of left ventricular wall thickness and mass by echocardiography. Circulation, 1972, 45, 602–611.

    PubMed  CAS  Google Scholar 

  22. Ferguson, R.H., Slocumb, C.H. Peripheral neuropathy in rheumatoid arthritis. Bull Rheum Dis, 1961, 11, 251–254.

    PubMed  CAS  Google Scholar 

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Del Real-More, O., Villavicencio, R., Iglesias-Gamarra, A. et al. Echocardiographic evaluation of patients with rheumatoid arthritis. Clin Rheumatol 2, 381–385 (1983). https://doi.org/10.1007/BF02041559

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  • DOI: https://doi.org/10.1007/BF02041559

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