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Published in:

01-01-2006 | Original Article

Use of tissue Doppler and its comparison with other conventional Doppler techniques in the assessment of diastolic functions in patients with active rheumatoid arthritis

Authors: Sakir Arslan, Engin Bozkurt, Refik Ali Sari, Mustafa Kemal Erol

Published in: Rheumatology International | Issue 3/2006

Abstract

Objective: This study aims to assess left ventricular diastolic functions with tissue Doppler imaging (TDI), which is a new technique, and to compare it with conventional Doppler echocardiography techniques in patients with active rheumatoid arthritis (RA). Methods: Fifty-two patients with active RA and 47 healthy persons were included in this study. All patients and the control group were evaluated by M-mod, two-dimensional, conventional Doppler echocardiography and TDI. Results: Left ventricular early diastolic (E)/late diastolic (A) flow velocity (E/A ratio) was found to be lower in patients with RA than in the control group (p<0.001). Mitral annular early diastolic (E_m)/late diastolic (A_m) velocity(E_m/A_m ratio) was found to decrease in RA patients compared with the control group (p<0.001). E/E_m ratio was higher in patients with RA than in the control group (p<0.001). Conclusion: Left ventricular diastolic functions were impaired in patients with RA. We have concluded that TDI alone, or together with conventional Doppler echocardiography, is useful for the evaluation of diastolic functions in RA patients.

Harris ED (1990) Rheumatoid arthritis. Pathophysiology and implications for therapy. N Engl J Med 322:1277–1289PubMed

Pincus T, Callahan LF (1986) Taking mortality in rheumatoid arthritis seriously–predictive markers, socioeconomic status and comorbidity. J Rheumatol 13:841–845PubMed

Mutru O, Laakso M, Isomaki H, Koota K (1989) Cardiovascular mortality in patients with rheumatoid arthritis. Cardiology 76:71–77PubMed

Wallberg-Jonsson S, Ohman ML, Dahlqvist SR (1997) Cardiovascular morbidity and mortality in patients with seropositive rheumatoid arthritis in Northern Sweden. J Rheumatol 24:445–451PubMed

Lebowits WB (1963) The heart in rheumatoid arthritis. A clinical and pathological study of 62 cases. Ann Intern Med 58:102–123PubMed

Apstein CS, Eberli FR (1998) Diastolic function and dysfunction with exercise, hypertrophy, ischemia, and heart failure. Cardiologia 43:1269–1279PubMed

Mandinov L, Eberli FR, Seiler C, Hess OM (2000) Diastolic heart failure. Cardiovasc Res 45:813–825CrossRefPubMed

Nishimura RA, Tajik AJ (1997) Evaluation of diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician’s Rosetta Stone. J Am Coll Cardiol 30:8–18CrossRefPubMed

Choong CY, Herrmann HC, Weyman AE, Fifer MA (1987) Preload dependence of Doppler-derived indexes of left ventricular diastolic function in humans. J Am Coll Cardiol 10:800–808

10.

Garcia MJ, Thomas JD, Klein AL (1998) New Doppler echocardiographic applications for the study of diastolic function. J Am Coll Cardiol 32:865–875

11.

Lindstrom L, Wranne B (1999) Pulsed tissue Doppler evaluation of mitral annulus motion: a new window to assessment of diastolic function. Clin Physiol 19:1–10

12.

Bruch C, Marin D, Kuntz S, Schmermund A, Bartel T, Schaar J, Erbel R (1999) Analysis of mitral annulus excursion with tissue Doppler echocardiography (tissue Doppler echocardiography=TDE). Noninvasive assessment of left ventricular, diastolic dysfunction. Z Kardiol 88:353–362CrossRefPubMed

13.

Sohn DW, Chai IH, Lee DJ, Kim HC, Kim HS, Oh BH, et al. (1997) Assesment of mitral annulus velocity by Doppler Tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 30:474–480CrossRefPubMed

14.

Nagueh SF, Mikati I, Kopelen HA, Middleton KJ, Quinones MA, Zoghbi WA (1998) Doppler estimation of left ventricular filling pressure in sinus tachycardia. A new application of tissue Doppler imaging. Circulation 20:1644–1650

15.

Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324PubMed

16.

Montecucco C, Gobbi G, Perlini S, Rossi S, Grandi AM, Caporali R, Finardi G (1999) Impaired diastolic function in active rheumatoid arthritis. Relationship with disease duration. Clin Exp Rheumatol 17:407–412PubMed

17.

Schiller NB, Shah PM, Crawford M, et al. (1989) Recommendations for quantification of the left ventricle by two-dimensional echocardiography. J Am Soc Echocardiogr 2:358–367PubMed

18.

Vaziri SM, Larson MG, Benjamin EJ, Levy D (1994) Echocardiographic predictors of nonrheumatic atrial fibrillation: the Framingham Heart study. Circulation 89:724–30PubMed

19.

Benjamin EJ, D’Agostino RB, Belanger AJ, Wolf PA, Levy D (1995) Left atrial size and the risk of stroke and death: the Framingham Heart study. Circulation 92:835–41PubMed

20.

Alpaslan M, Onrat E, Evcik D (2003) Doppler echocardiographic evaluation of ventricular function in patients with rheumatoid arthritis. Clin Rheumatol 22:84–88PubMed

21.

Di Franco M, Paradiso M, Mammarella A et al (2000) Diastolic function abnormalities in rheumatoid arthritis. Evaluation by echo Doppler transmitral flow and pulmonary venous flow: relation with duration of disease. Ann Rheum Dis 59:227–229PubMed

22.

Maione S, Valentini G, Giunta A et al (1993) Cardiac involvement in rheumatoid arthritis: an echocardiographic study. Cardiology 83:234–239PubMed

23.

Levendoglu F, Temizhan A, Ugurlu H, Ozdemir A, Yazici M (2003) Ventricular function abnormalities in active rheumatoid arthritis: a Doppler echocardiographic study. Rheumatol Int 24:141–146CrossRefPubMed

24.

Ommen SR, Nishimura RA, Appleton CP et al (2000) Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures. Circulation 102:1788–1794PubMed

25.

Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quinones MA (1997) Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 30:1527–1533CrossRefPubMed

26.

Lengyel M, Nagy A, Zarondi A (2002) Tissue Doppler echocardiography: a new technique to assess diastolic function. Orv Hetil 17:333–339

27.

Mikuls TR, Saag KG (2001) Rheumatoid arthritis: comorbidity in rheumatoid arthritis. Rheum Dis Clin North Am 27:283–303PubMed

28.

Page J, Henry D (2000) Consumption of NSAIDs and the development of congestive heart failure in elderly patients. Arch Intern Med 160:777–784CrossRefPubMed

29.

Nashel D (1986) Is atherosclerosis a complication of long-term corticosteroid treatment? Am J Med 80:925–929CrossRefPubMed

30.

Landewe R, van den Borne B, Breedveld F et al (2000) Methotrexate effects in patients with rheumatoid arthritis with cardiovascular comorbidity. Lancet 355:1616–1617CrossRefPubMed

31.

Haagsma C, Blom H, van Riel PL et al (1999) Influence of sulfasalazine, methotrexate and combination of both on plasma homocysteine concentrations in patients with rheumatoid arthritis. Ann Rheum Dis 58:79–84

32.

Iglesias Cubero G, Rodriguez Reguero JJ, Rojo Ortega JM (1993) Restrictive cardiomyopathy caused by chloroquine. Br Heart J 69:451–452PubMed

33.

Ratliff NB, Estes ML, Myles JL, Shirey EK, McMahon JT (1987) Diagnosis of chloroquine cardiomyopathy by endomyocardial biopsy. N Engl J Med 316:191–193

34.

Qasim FJ, Thiru S, Gillespie K (1997) Gold and D-penicillamine induce vasculitis and up-regulate m RBA for IL-4 in the Brown Norway rat: support for a role of Th2 cell activity. Clin Exp Immunol 108:438–445

35.

Sagie A, Benjamin EJ, Galderisi M et al (1993) Reference values for Doppler indexes of left ventricular diastolic filling in the elderly. J Am Soc Echocardiogr 6:570–576PubMed

Title: Use of tissue Doppler and its comparison with other conventional Doppler techniques in the assessment of diastolic functions in patients with active rheumatoid arthritis
Authors: Sakir Arslan
Engin Bozkurt
Refik Ali Sari
Mustafa Kemal Erol
Publication date: 01-01-2006
Publisher: Springer-Verlag
Published in: Rheumatology International / Issue 3/2006
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-004-0561-y

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