Right ventricular diastolic abnormalities in rheumatoid arthritis and its relationship with left ventricular and pulmonary involvement. A tissue Doppler echocardiographic study

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dc.contributor.authorSeyfeli, Ergun
dc.contributor.authorGuler, Hayal
dc.contributor.authorAkoglu, Sebahat
dc.contributor.authorKarazincir, Sinem
dc.contributor.authorAkgul, Ferit
dc.contributor.authorSaglam, Hayrettin
dc.contributor.authorSeydaliyeva, Tunzale
dc.date.accessioned2024-09-18T20:55:48Z
dc.date.available2024-09-18T20:55:48Z
dc.date.issued2006
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjectives To investigate right ventricular diastolic function in rheumatoid arthritis (RA) and its relationship with left ventricular and pulmonary involvement. Methods Thirty-five RA patients and 30 healthy subjects were submitted to conventional Doppler (CE) and tissue Doppler echocardiography (TDE) to assess left and right systolic and diastolic function and to estimate maximal arterial systolic pulmonary pressure (PAP). To detect pulmonary involvement, pulmonary function tests and high-resolution computed tomography (HRCT) scans were performed in all RA patients. Results An abnormal RV filling, as expressed byan inverted tricuspid (Tr.) E/A ratio, was detected in 12 (34%) of the 35 RA patients and in 2 (7%) of the 30 controls (P < 0.004). If compared to CE findings, prevalence of RV diastolic abnormalities were found higher in patients with RA by TDE (RV annulus Em/Am ratio < 1 (in 31 (89%) of 35 patients) (P=0.002). Twenty-two (63%) of 35 patients had abnormal HRCT findings. Pulmonary involvement with pulmonary hypertension (PHT) (36 +/- 5 mmHg) was detected in 10 (29%) of 35 RA. In this group, increase of RV annulus and basal Am wave, decrease of Tr. E/A ratio and RV annulus Em/Am ratio were statistically significant compared to RA (12 (34%) of 35) patients with pulmonary involvement who had normal PAP (19 +/- 5 mmHg), (P=0.014, P=0.006, P=0.015, P=0.049, respectively). Conclusions This study points out an impaired RV filling in a significant part of RA patients without overt heart failure. Impairment of RV diastolic function may be a predictor of subclinic myocardial and pulmonary involvement in patients with RA.en_US
dc.identifier.doi10.1007/s10554-006-9096-5
dc.identifier.endpage754en_US
dc.identifier.issn1569-5794
dc.identifier.issue6en_US
dc.identifier.pmid16705477en_US
dc.identifier.scopus2-s2.0-33750874083en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage745en_US
dc.identifier.urihttps://doi.org/10.1007/s10554-006-9096-5
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12058
dc.identifier.volume22en_US
dc.identifier.wosWOS:000241904000002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Journal of Cardiovascular Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectrheumatoid arthritisen_US
dc.subjectright ventricleen_US
dc.subjecttissue Doppler imagingen_US
dc.subjectlungen_US
dc.subjectdiastolic functionen_US
dc.titleRight ventricular diastolic abnormalities in rheumatoid arthritis and its relationship with left ventricular and pulmonary involvement. A tissue Doppler echocardiographic studyen_US
dc.typeArticleen_US

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