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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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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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Related Experiment Video

Updated: Oct 17, 2025

Author Spotlight: Implementation of BIVA for Analyzing Disease Risk Factors in Patients with Low Body Cell Mass
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Rheumatoid cachexia in early rheumatoid arthritis: prevalence and associated variables.

L Ångström1, K Hörnberg1, B Sundström1

  • 1Department of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden.

Scandinavian Journal of Rheumatology
|October 13, 2021
PubMed
Summary

Rheumatoid cachexia (RC) affects 24% of early rheumatoid arthritis (RA) patients. Early detection and treatment of RC, focusing on inflammation, aerobic capacity, and physical activity, can improve patient outcomes.

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Area of Science:

  • Rheumatology
  • Body Composition Analysis
  • Clinical Research

Background:

  • Rheumatoid cachexia (RC) is common in established rheumatoid arthritis (RA).
  • Previous studies reported muscle and fat mass changes in early RA, but not classified under existing RC definitions.
  • This study addresses the prevalence and associated factors of RC in early RA.

Purpose of the Study:

  • To determine the prevalence of rheumatoid cachexia (RC) in patients with early rheumatoid arthritis (RA).
  • To identify variables associated with RC in early RA patients.
  • To inform early detection and treatment strategies for RC in RA.

Main Methods:

  • A cross-sectional study of 87 early RA patients with a median disease duration of 15 months.
  • Body composition assessed using dual-energy X-ray absorptiometry.
  • RC defined by fat-free mass index (<10th percentile) and fat mass index (>25th percentile).
  • Evaluated erythrocyte sedimentation rate (ESR), C-reactive protein, aerobic capacity, physical activity, cardiovascular risk factors, functional disability, and sociodemographics.
  • Logistic regression analyses used to determine associations between RC and independent variables.

Main Results:

  • The prevalence of RC was 24% in the early RA cohort.
  • RC was significantly associated with lower aerobic capacity, lower intensity physical activity, lower body mass index, smaller waist circumference, lower body weight, and higher ESR at diagnosis.
  • These associations remained significant after adjusting for age and gender.

Conclusions:

  • Rheumatoid cachexia (RC) is highly prevalent in early rheumatoid arthritis (RA).
  • Early identification of RC is crucial for improving patient outcomes.
  • Treatment strategies should focus on reducing inflammation, enhancing aerobic capacity and physical activity, and improving body composition.