Color and Tissue Doppler Echocardiographical Findings in Patients with Rheumatoid Arthritis

Authors : Mehmet CAGLAYAN, Ali Fuat KARA, Mehmet Zihni BİLİK, Mehmet Ata AKIL, Figen Ceylan ÇEVİK, Remzi ÇEVİK

Pages : 41-52

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Publication Date : 2018-12-07

Article Type : Research Paper

Abstract :Aim: Cardiac involvement associated with rheumatoid arthritis insert ignore into journalissuearticles values(RA); is one of the common inflammatory diseases of silent nature. In this study, presence of cardiac involvement was investigated by echocardiographic evaluation in RA patients. Material and Methods: Fourty-eight patients with RA and 22 age-matched healthy controls were included in this study. All individuals were evaluated in terms of clinical and laboratory parameters. Conventional and tissue Doppler echocardiography was performed. Results: According to the conventional and tissue Doppler evaluation, RVD insert ignore into journalissuearticles values(Right ventricular diastolic diameter);, RAD insert ignore into journalissuearticles values(Right atrium diastolic diameter);, Mit-E insert ignore into journalissuearticles values(Early diastolic wave of mitral valve);, Tleft-Em insert ignore into journalissuearticles values(Left ventricular lateral wall tissue Doppler late diastolic wave);, Tright-Em insert ignore into journalissuearticles values(Right ventricular free wall tissue Doppler early diastolic wave);, Mit-E/Mit-A, Tleft-Em/Tleft-Am insert ignore into journalissuearticles values(Left ventricular lateral wall tissue Doppler late diastolic wave/ Left ventricular lateral wall tissue Doppler late diastolic wave);, Tright-Em/Tright-Am were found to be significantly lower in the RA group. Mit-A insert ignore into journalissuearticles values(Late diastolic motion of mitral valve);, DT insert ignore into journalissuearticles values(Mitral deceleration time);, Tleft-Am, Tright-Am insert ignore into journalissuearticles values(Right ventricular free wall tissue Doppler late diastolic wave);, IVRT insert ignore into journalissuearticles values(isovolumic relaxation time);, LV-MPI insert ignore into journalissuearticles values(Left ventricular myocardial performance index);, RV-MPI insert ignore into journalissuearticles values(Right ventricular myocardial perfusion index); were found to be significantly higher in the RA group. Conclusion: Conventional and tissue Doppler measurements demonstrated the presence of diastolic dysfunction in RA patients. Conventional and tissue Doppler electrocardiographic evaluation offers necessary, non-invasive, and practical methods in the planning of the required treatment regimen for cardiac involvement within the context of the follow-up of the RA patients.
Keywords : diastolic dysfunction, doppler echocardiography