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[The heart and ankylosing spondylitis].

E Badui, J Jiménez, E Robles

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

    Cardiovascular complications are common in Ankylosing Spondylitis patients. Non-invasive methods revealed that 35% of patients experienced cardiac issues, including hypertrophy and conduction disturbances.

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    Area of Science:

    • Cardiology
    • Rheumatology
    • Internal Medicine

    Context:

    • Ankylosing Spondylitis (AS) is a chronic inflammatory disease primarily affecting the axial skeleton.
    • Cardiovascular involvement in AS is increasingly recognized but often underdiagnosed.
    • Non-invasive cardiological assessment is crucial for early detection of AS-related cardiac complications.

    Purpose:

    • To investigate the prevalence and types of cardiovascular complications in patients with Ankylosing Spondylitis.
    • To evaluate the utility of non-invasive cardiological methods in detecting cardiac abnormalities in AS patients.
    • To compare the observed frequency of pericardial effusion in AS with existing literature.

    Summary:

    • A study of 40 Ankylosing Spondylitis patients using non-invasive methods found that 35% had cardiovascular complications.
    • Common symptoms included chest pain, dyspnea on exertion, and palpitations.
    • Electrocardiogram and Chest X-ray revealed left ventricular hypertrophy in 17.5% and 15% of patients, respectively. Conduction disturbances were noted in 17.5% of ECGs.
    • Echocardiography identified aortic dilatation and mitral valve disease in 5% each. Pericardial effusion was found in 7.5% of patients, a higher frequency than previously reported.

    Impact:

    • Highlights the significant prevalence of cardiovascular complications in Ankylosing Spondylitis.
    • Emphasizes the importance of routine non-invasive cardiac screening in AS patients.
    • Suggests a potentially higher incidence of pericardial effusion in AS than previously understood, warranting further investigation.

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