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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Related Experiment Video

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Evaluation of Changes in Hydration and Body Cell Mass with Bioelectrical Impedance Analysis after Exercise Program for Rheumatoid Arthritis Patients
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The relationship between cognitive function and physical function in rheumatoid arthritis.

So Young Shin1, Laura Julian, Patricia Katz

  • 1College of Nursing, Keimyung University, Daegu, South Korea. fantasy45@gmail.com

The Journal of Rheumatology
|January 17, 2013
PubMed
Summary

Cognitive impairment is linked to increased functional limitations in rheumatoid arthritis (RA) patients. This suggests that cognitive decline may contribute to poorer physical function in individuals with RA.

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Area of Science:

  • Rheumatology
  • Neuropsychology
  • Gerontology

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease.
  • Cognitive impairment can affect individuals with RA.
  • The relationship between cognitive function and physical limitations in RA is not fully understood.

Purpose of the Study:

  • To investigate the association between cognitive impairment and functional limitations and disability in patients with rheumatoid arthritis.

Main Methods:

  • A longitudinal cohort study of RA patients was conducted.
  • Cognitive function was assessed using 12 standardized neuropsychological tests.
  • Functional limitations were measured using the Short Physical Performance Battery (SPPB) and Health Assessment Questionnaire (HAQ).
  • Disability was assessed using the Valued Life Activities (VLA) scale.
  • Multiple regression analyses were performed, controlling for relevant covariates.

Main Results:

  • The study included 122 RA patients (mean age 58.4 years, 62% female, 80% white).
  • Total cognitive impairment score was significantly associated with greater functional limitations (SPPB and HAQ).
  • Cognitive impairment was not significantly associated with self-reported disability (VLA).

Conclusions:

  • Cognitive impairment is significantly associated with increased functional limitations in patients with rheumatoid arthritis.
  • Cognitive impairment may play a role in the reduced functional status observed in RA patients.