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[Atrioventricular blocks and rheumatoid arthritis]
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|March 1, 1976
Summary
Rheumatoid polyarthritis can cause auriculo-ventricular (AV) blocks, often preceded by other conduction issues. Histological examination revealed rheumatoid granulomas in the heart, confirming a link between the disease and AV blocks.
Area of Science:
- Cardiology
- Rheumatology
- Pathology
Context:
- Rheumatoid polyarthritis is a systemic autoimmune disease.
- Auriculo-ventricular (AV) blocks are a serious cardiac complication.
- Previous research on cardiac involvement in rheumatoid polyarthritis is limited.
Purpose:
- To investigate the incidence and characteristics of AV blocks in hospitalized rheumatoid polyarthritis patients.
- To determine the pathological basis of AV blocks in rheumatoid polyarthritis.
- To correlate conduction disturbances with disease duration and severity.
Summary:
- A study of 379 rheumatoid polyarthritis patients identified 12 cases of AV block.
- AV block formation often followed pre-existing conduction abnormalities.
- Histological findings included myocardial granulomas and arteritis, with rheumatoid granulomas found in nodal tissue in some cases.
Impact:
- This study highlights the significant cardiac risk associated with rheumatoid polyarthritis.
- Understanding the link between rheumatoid polyarthritis and AV blocks can improve patient management.
- The findings emphasize the importance of cardiac monitoring in patients with severe rheumatoid polyarthritis.