| Title | [Cardiac involvement in spondylarthropathies] | | Author(s) | Kochbati S, Ben Miled M, Boussema F, Ketari S, Ben Maatallah Kochbati A, Kraiem S, Ben Amor G, Ben Rhouma S, Chérif O, Rokbani L | | Institution | Service de médecine interne, Hôpital Habib Thameur, Tunis. | | Source | Tunis Med 2004 Dec; 82(12):1082-90. | | MeSH | Adolescent
Adult
Aortic Valve Insufficiency
Arrhythmia
Arthritis, Psoriatic
Comparative Study
Crohn Disease
Electrocardiography
English Abstract
Female
Heart Diseases
Humans
Male
Middle Aged
Mitral Valve Insufficiency
Proctocolitis
Prospective Studies
Radiography, Thoracic
Reiter Disease
Spondylarthropathies
Time Factors
| | Abstract | Cardiac involvement is a real manifestation of spondylarthropathies and include specially aortic regurgitation and conduction troubles. We present a prospective open study of fifty patients with spondylarthropathy (responded to Amor criteria) in order to evaluate the frequency of cardiac involvement, to see its type and if we can evaluate a group of patients able to this complication. We have included forty-four men and six women with a mean age of 38 years. The disease evolve for 8.8 years in mean. Ag HLA B27 was present in 70% of the cases. Thirty patients have ankylosing spondylitis, although twenty have a secondary spondylarthropathy: psoriasic rheumatism (12 cases), inflammatory bowel disease: Crohn's disease (4 cases), RCH (three cases) and Fiessenger le Roy-Reiter syndrome in one case. All the patients have had a cardiac check up with research of clinical cardiac manifestation, thoracic chest, trans-thoracic echographi, Halter rhythmic done in five cases only. Cardiac involvement is found in five cases (10%): aortic regurgitation in 3 cases (6%) and mitral regurgitation in 2 cases (4%). These valvular disease are well tolerated. | | Language | fre | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 15822509 |
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