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[Cardiac involvement in ankylosing spondylitis].

G Pop, L C Romero-Ayala, D Bialostozky

    Archivos Del Instituto De Cardiologia De Mexico
    |January 1, 1985
    PubMed
    Summary

    Ankylosing spondylitis can cause cardiac issues, including aortic insufficiency and conduction blocks, in 17.4% of patients. Early cardiac screening is crucial for individuals with this rheumatic disease or unexplained heart conditions.

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    Area of Science:

    • Rheumatology
    • Cardiology

    Context:

    • Ankylosing spondylitis (AS) is a rheumatic disease primarily affecting the axial skeleton, with cardiac involvement noted in up to 48% of cases.
    • Existing research on AS cardiac manifestations is largely from Northern countries, potentially limiting applicability to other populations.
    • Racial variations in AS features suggest a need for localized studies.

    Purpose:

    • To investigate the prevalence and characteristics of cardiac involvement in patients with ankylosing spondylitis in a specific population.
    • To assess the utility of clinical examination, electrocardiography, Holter monitoring, and echocardiography in detecting cardiac issues in AS patients.

    Summary:

    • A study of 23 ankylosing spondylitis patients (mean age 36, 21 men) revealed cardiac involvement in 17.4% unrelated to other causes.
    • Clinical findings included two cases of isolated aortic insufficiency and one right bundle branch block.
    • Echocardiography identified aortic valvular lesions in two patients, including one with initially normal non-invasive tests.

    Impact:

    • Highlights the importance of cardiac evaluation in ankylosing spondylitis patients, particularly for aortic insufficiency and conduction disturbances of unknown origin.
    • Suggests that cardiac screening should be a routine part of managing ankylosing spondylitis.
    • Emphasizes the need to consider AS in patients presenting with unexplained cardiac conduction abnormalities or aortic valve disease.

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