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Combined use of propagation velocity and intraventricular dispersion of E wave velocity for the evaluation of diastolic functions in patients with rheumatoid arthritis

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Abstract

Purpose

The aim of this study was to evaluate diastolic functions in patients with rheumatoid arthritis (RA) by propagation velocity and intraventricular dispersion of E wave velocity.

Methods

Thirty-four patients fulfilling American Rheumatism Association (ARA) criteria for the diagnosis of RA without evidence of cardiac disease and left ventricular systolic dysfunction were enrolled in this study. Echocardiographic examinations were performed for the evaluation of diastolic dysfunction in all patients.

Results

Propagation velocity in RA patients was significantly lower than the control group (42±16 cm/s, 54±15 cm/s, p=0.002). There was significant intraventricular dispersion of E wave velocity towards the cardiac apex in RA patients (p<0.001) when compared with the controls (p=0.79). There was a significant correlation between intraventricular dispersion of E wave velocity and diastolic dysfunction in the patients in which the duration of illness was longer than 10 years (p<0.001).

Conclusion

Structural myocardial abnormalities may cause impaired left ventricular relaxation in RA patients and these changes are correlated with the duration of the disease. Our findings demonstrate that combined use of propagation velocity and intraventricular dispersion of E wave velocity can help the early determination of diastolic functions in the patients with RA.

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Abbreviations

BMI:

Body mass index

CRP:

C-reactive protein

DAS:

Disease activity score

DMARD:

Disease-modifying antirheumatic drugs

DT:

Deceleration time

ESR:

Erythrocyte sedimentation rate

HAQ:

Health Assessment Questionnaire

IVRT:

Isovolumic relaxation time

IVST:

Interventricular sep-tal thickness

LVEDD:

Left ventricular end-diastolic diameter

LVESD:

Left ventricular endsystolic diam eter

NSAID:

Nonsteroidal antiinflammatory drugs

PCWP:

Pulmonary capillary wedge pressure

PV:

Propagation velocity

PW:

Pulsed Wave Doppler

PWT:

Posterior wall thickness

RA:

Rheumatoid arth ritis

RF:

Rheumatoid factor

TDI:

Tissue Doppler imaging

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Ondokuz Mayis University Medical Faculty, Kurupelit/Samsun, Turkey

    Ferhan Canturk, Gamze Alayli & Elif Berber Menekse

  2. Department of Cardiology, Ondokuz Mayis University Medical Faculty, Kurupelit/Samsun, Turkey

    Mustafa Yazici, Sabri Demircan & Firdovsi Ibrahimli

  3. Cardiovascular Surgery, Ondokuz Mayis University Medical Faculty, Kurupelit/Samsun, Turkey

    Serdar Menekse

Authors
  1. Ferhan Canturk
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  2. Mustafa Yazici
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  3. Gamze Alayli
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  4. Elif Berber Menekse
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  5. Sabri Demircan
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  6. Firdovsi Ibrahimli
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  7. Serdar Menekse
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Correspondence to Mustafa Yazici.

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Canturk, F., Yazici, M., Alayli, G. et al. Combined use of propagation velocity and intraventricular dispersion of E wave velocity for the evaluation of diastolic functions in patients with rheumatoid arthritis. Int J Cardiovasc Imaging 22, 369–376 (2006). https://doi.org/10.1007/s10554-005-9059-2

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  • DOI: https://doi.org/10.1007/s10554-005-9059-2

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