Document Detail


The heart in rheumatoid arthritis--a clinical and echocardiographic study.
MedLine Citation:
PMID:  3455547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A clinical and echocardiographic study was carried out in a randomly selected group of 101 patients with rheumatoid arthritis to determine the prevalence of cardiac abnormalities. Adequate two-dimensional assessments were obtained in 84 patients and 77 patients had adequate M mode recordings. Thirty-one patients (37 per cent) had 45 echocardiographic abnormalities. Five patients (6 per cent) had a pericardial effusion. Eleven abnormalities of the mitral valve were noted in 10 patients (13 per cent). Three patients had mitral valve prolapse, one patient with aortic incompetence had flutter on the mitral valve, five patients had mitral annular calcium and one patient had hypertrophic obstructive cardiomyopathy and mitral annular calcification. A reduction in the E-F slope was noted in 12 patients, seven of whom had associated cardiac disease, one patient had a sinus tachycardia and four patients (5 per cent) had a mild reduction without any other cardiac abnormality. Apart from the presence of pericardial effusion in 6 per cent and minor abnormalities of the E-F slope in 5 per cent of patients, all the other significant echocardiographic abnormalities could be related to the presence of associated cardiac disease.
Authors:
G M Mody; J E Stevens; O L Meyers
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Quarterly journal of medicine     Volume:  65     ISSN:  0033-5622     ISO Abbreviation:  Q. J. Med.     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1988-10-27     Completed Date:  1988-10-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401027     Medline TA:  Q J Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  921-8     Citation Subset:  IM    
Affiliation:
Rheumatic Diseases Unit, Groote Schuur Orthopaedic Hospital, South Africa.
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MeSH Terms
Descriptor/Qualifier:
Arthritis, Rheumatoid / complications*,  physiopathology
Echocardiography*
Female
Heart Diseases / complications*,  diagnosis,  physiopathology
Heart Valve Diseases / complications,  diagnosis
Humans
Hypertension / complications,  diagnosis
Male
Middle Aged
Pericardial Effusion / complications,  diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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