Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis

Objectives: Rheumatoid arthritis (RA) is a chronic, inflammatory disease associated with increased risk of cardiovascular (CV) disease. Arterial stiffness (AS) is an independent predictor of CV events. This study aimed to analyse local carotid AS parameters in seronegative and seropositive RA patien...

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Veröffentlicht in:Scandinavian cardiovascular journal : SCJ 2017-09, Vol.51 (5), p.255-260
Hauptverfasser: Aslan, Abdullah Nabi, Şirin Özcan, Ayşe Nur, Erten, Şükran, Alsancak, Yakup, Durmaz, Tahir
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container_issue 5
container_start_page 255
container_title Scandinavian cardiovascular journal : SCJ
container_volume 51
creator Aslan, Abdullah Nabi
Şirin Özcan, Ayşe Nur
Erten, Şükran
Alsancak, Yakup
Durmaz, Tahir
description Objectives: Rheumatoid arthritis (RA) is a chronic, inflammatory disease associated with increased risk of cardiovascular (CV) disease. Arterial stiffness (AS) is an independent predictor of CV events. This study aimed to analyse local carotid AS parameters in seronegative and seropositive RA patients. Design: Of 347 consecutive RA patients, we selected specifically those who were free of established CV diseases and risk factors. As a result, 140 patients (126 women, 52.2 ± 10 years) and 140 healthy controls (122 women, 52.7 ± 8.0 years) were enrolled into this study. The common carotid AS was evaluated using radio frequency echo-tracking system to determine the local carotid pulse wave velocity (cPWV) and carotid intima-media thickness (cIMT). Based on rheumatoid factor (RF) and/or anti-citrullinated protein antibody (ACPA) positivity, RA patients were categorized into seronegative and seropositive subgroups. Results: Carotid PWV was determined to be significantly higher in all patients and subgroups than controls (p 
doi_str_mv 10.1080/14017431.2017.1343493
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Arterial stiffness (AS) is an independent predictor of CV events. This study aimed to analyse local carotid AS parameters in seronegative and seropositive RA patients. Design: Of 347 consecutive RA patients, we selected specifically those who were free of established CV diseases and risk factors. As a result, 140 patients (126 women, 52.2 ± 10 years) and 140 healthy controls (122 women, 52.7 ± 8.0 years) were enrolled into this study. The common carotid AS was evaluated using radio frequency echo-tracking system to determine the local carotid pulse wave velocity (cPWV) and carotid intima-media thickness (cIMT). Based on rheumatoid factor (RF) and/or anti-citrullinated protein antibody (ACPA) positivity, RA patients were categorized into seronegative and seropositive subgroups. Results: Carotid PWV was determined to be significantly higher in all patients and subgroups than controls (p &lt; .001 for all). Although cIMT was similar between the patients, controls and seropositive subgroup, seronegative patients had significantly higher cIMT compared to controls (p = .035) and seropositive group (p = .010). Moreover, a significant positive correlation was found between cPWV and age (r: 0.603, p &lt; .001), ESR (r: 0.297, p = .004), ACPA (r: 0.346, p = .001) and cIMT (r: 0.290, p = .005) in seropositive patients. Conclusions: RA per se is sufficient to cause arteriosclerosis in the absence of classical CV risk factors. However, arterial hypertrophy is only increased in seronegative patients but not in seropositive group.</description><identifier>ISSN: 1401-7431</identifier><identifier>EISSN: 1651-2006</identifier><identifier>DOI: 10.1080/14017431.2017.1343493</identifier><identifier>PMID: 28643530</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Adult ; arterial stiffness ; Arthritis, Rheumatoid - blood ; Arthritis, Rheumatoid - complications ; Arthritis, Rheumatoid - diagnosis ; Arthritis, Rheumatoid - immunology ; Biomarkers - blood ; Carotid Artery Diseases - diagnosis ; Carotid Artery Diseases - etiology ; Carotid Artery Diseases - physiopathology ; Carotid Artery, Common - diagnostic imaging ; Carotid Artery, Common - physiopathology ; Carotid Intima-Media Thickness ; Case-Control Studies ; echotracking system ; Female ; Humans ; Male ; Middle Aged ; Peptides, Cyclic - immunology ; Predictive Value of Tests ; Pulse Wave Analysis ; pulse wave velocity ; Rheumatoid arthritis ; Rheumatoid Factor - blood ; Risk Factors ; Serologic Tests ; seronegative ; seropositive ; Vascular Stiffness</subject><ispartof>Scandinavian cardiovascular journal : SCJ, 2017-09, Vol.51 (5), p.255-260</ispartof><rights>2017 Informa UK Limited, trading as Taylor &amp; Francis Group 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-4b290eb979370be0088e86da11cb8544090b4cd6e0b0ad6d7ee8fbdab5f7fce53</citedby><cites>FETCH-LOGICAL-c366t-4b290eb979370be0088e86da11cb8544090b4cd6e0b0ad6d7ee8fbdab5f7fce53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28643530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aslan, Abdullah Nabi</creatorcontrib><creatorcontrib>Şirin Özcan, Ayşe Nur</creatorcontrib><creatorcontrib>Erten, Şükran</creatorcontrib><creatorcontrib>Alsancak, Yakup</creatorcontrib><creatorcontrib>Durmaz, Tahir</creatorcontrib><title>Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis</title><title>Scandinavian cardiovascular journal : SCJ</title><addtitle>Scand Cardiovasc J</addtitle><description>Objectives: Rheumatoid arthritis (RA) is a chronic, inflammatory disease associated with increased risk of cardiovascular (CV) disease. Arterial stiffness (AS) is an independent predictor of CV events. This study aimed to analyse local carotid AS parameters in seronegative and seropositive RA patients. Design: Of 347 consecutive RA patients, we selected specifically those who were free of established CV diseases and risk factors. As a result, 140 patients (126 women, 52.2 ± 10 years) and 140 healthy controls (122 women, 52.7 ± 8.0 years) were enrolled into this study. The common carotid AS was evaluated using radio frequency echo-tracking system to determine the local carotid pulse wave velocity (cPWV) and carotid intima-media thickness (cIMT). Based on rheumatoid factor (RF) and/or anti-citrullinated protein antibody (ACPA) positivity, RA patients were categorized into seronegative and seropositive subgroups. Results: Carotid PWV was determined to be significantly higher in all patients and subgroups than controls (p &lt; .001 for all). Although cIMT was similar between the patients, controls and seropositive subgroup, seronegative patients had significantly higher cIMT compared to controls (p = .035) and seropositive group (p = .010). Moreover, a significant positive correlation was found between cPWV and age (r: 0.603, p &lt; .001), ESR (r: 0.297, p = .004), ACPA (r: 0.346, p = .001) and cIMT (r: 0.290, p = .005) in seropositive patients. Conclusions: RA per se is sufficient to cause arteriosclerosis in the absence of classical CV risk factors. However, arterial hypertrophy is only increased in seronegative patients but not in seropositive group.</description><subject>Adult</subject><subject>arterial stiffness</subject><subject>Arthritis, Rheumatoid - blood</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - immunology</subject><subject>Biomarkers - blood</subject><subject>Carotid Artery Diseases - diagnosis</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Diseases - physiopathology</subject><subject>Carotid Artery, Common - diagnostic imaging</subject><subject>Carotid Artery, Common - physiopathology</subject><subject>Carotid Intima-Media Thickness</subject><subject>Case-Control Studies</subject><subject>echotracking system</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peptides, Cyclic - immunology</subject><subject>Predictive Value of Tests</subject><subject>Pulse Wave Analysis</subject><subject>pulse wave velocity</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatoid Factor - blood</subject><subject>Risk Factors</subject><subject>Serologic Tests</subject><subject>seronegative</subject><subject>seropositive</subject><subject>Vascular Stiffness</subject><issn>1401-7431</issn><issn>1651-2006</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi0Eou3CTwDlyCXLeO04zq1V1UKlSlzgxMHyx5gaJfHW4y3qv2-2u-2R01jvPK9Hehj7xGHNQcNXLoH3UvD1ZplrLqSQg3jDTrnqeLsBUG-X98K0e-iEnRH9BeCd7vh7drLRSopOwCn7fUGERBPOtcmxGbO3Y-NtyTWFhmqKcV7WTZobwpJn_GNresDGzuE52GZKz0G5w91ka15attS7sqT0gb2LdiT8eJwr9uv66ufl9_b2x7eby4vb1gulaivdZgB0Qz-IHhwCaI1aBcu5d7qTEgZw0geF4MAGFXpEHV2wrot99NiJFfty-Hdb8v0OqZopkcdxtDPmHRk-cCGGQek92h1QXzJRwWi2JU22PBoOZu_VvHg1e6_m6HXpfT6e2LkJw2vrReQCnB-ANMdcJvsvlzGYah_HXGKxs09kxP9vPAHNyIl4</recordid><startdate>20170903</startdate><enddate>20170903</enddate><creator>Aslan, Abdullah Nabi</creator><creator>Şirin Özcan, Ayşe Nur</creator><creator>Erten, Şükran</creator><creator>Alsancak, Yakup</creator><creator>Durmaz, Tahir</creator><general>Taylor &amp; Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170903</creationdate><title>Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis</title><author>Aslan, Abdullah Nabi ; Şirin Özcan, Ayşe Nur ; Erten, Şükran ; Alsancak, Yakup ; Durmaz, Tahir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-4b290eb979370be0088e86da11cb8544090b4cd6e0b0ad6d7ee8fbdab5f7fce53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>arterial stiffness</topic><topic>Arthritis, Rheumatoid - blood</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - immunology</topic><topic>Biomarkers - blood</topic><topic>Carotid Artery Diseases - diagnosis</topic><topic>Carotid Artery Diseases - etiology</topic><topic>Carotid Artery Diseases - physiopathology</topic><topic>Carotid Artery, Common - diagnostic imaging</topic><topic>Carotid Artery, Common - physiopathology</topic><topic>Carotid Intima-Media Thickness</topic><topic>Case-Control Studies</topic><topic>echotracking system</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peptides, Cyclic - immunology</topic><topic>Predictive Value of Tests</topic><topic>Pulse Wave Analysis</topic><topic>pulse wave velocity</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatoid Factor - blood</topic><topic>Risk Factors</topic><topic>Serologic Tests</topic><topic>seronegative</topic><topic>seropositive</topic><topic>Vascular Stiffness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aslan, Abdullah Nabi</creatorcontrib><creatorcontrib>Şirin Özcan, Ayşe Nur</creatorcontrib><creatorcontrib>Erten, Şükran</creatorcontrib><creatorcontrib>Alsancak, Yakup</creatorcontrib><creatorcontrib>Durmaz, Tahir</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian cardiovascular journal : SCJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aslan, Abdullah Nabi</au><au>Şirin Özcan, Ayşe Nur</au><au>Erten, Şükran</au><au>Alsancak, Yakup</au><au>Durmaz, Tahir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis</atitle><jtitle>Scandinavian cardiovascular journal : SCJ</jtitle><addtitle>Scand Cardiovasc J</addtitle><date>2017-09-03</date><risdate>2017</risdate><volume>51</volume><issue>5</issue><spage>255</spage><epage>260</epage><pages>255-260</pages><issn>1401-7431</issn><eissn>1651-2006</eissn><abstract>Objectives: Rheumatoid arthritis (RA) is a chronic, inflammatory disease associated with increased risk of cardiovascular (CV) disease. Arterial stiffness (AS) is an independent predictor of CV events. This study aimed to analyse local carotid AS parameters in seronegative and seropositive RA patients. Design: Of 347 consecutive RA patients, we selected specifically those who were free of established CV diseases and risk factors. As a result, 140 patients (126 women, 52.2 ± 10 years) and 140 healthy controls (122 women, 52.7 ± 8.0 years) were enrolled into this study. The common carotid AS was evaluated using radio frequency echo-tracking system to determine the local carotid pulse wave velocity (cPWV) and carotid intima-media thickness (cIMT). Based on rheumatoid factor (RF) and/or anti-citrullinated protein antibody (ACPA) positivity, RA patients were categorized into seronegative and seropositive subgroups. Results: Carotid PWV was determined to be significantly higher in all patients and subgroups than controls (p &lt; .001 for all). Although cIMT was similar between the patients, controls and seropositive subgroup, seronegative patients had significantly higher cIMT compared to controls (p = .035) and seropositive group (p = .010). Moreover, a significant positive correlation was found between cPWV and age (r: 0.603, p &lt; .001), ESR (r: 0.297, p = .004), ACPA (r: 0.346, p = .001) and cIMT (r: 0.290, p = .005) in seropositive patients. Conclusions: RA per se is sufficient to cause arteriosclerosis in the absence of classical CV risk factors. However, arterial hypertrophy is only increased in seronegative patients but not in seropositive group.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>28643530</pmid><doi>10.1080/14017431.2017.1343493</doi><tpages>6</tpages></addata></record>
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subjects Adult
arterial stiffness
Arthritis, Rheumatoid - blood
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - immunology
Biomarkers - blood
Carotid Artery Diseases - diagnosis
Carotid Artery Diseases - etiology
Carotid Artery Diseases - physiopathology
Carotid Artery, Common - diagnostic imaging
Carotid Artery, Common - physiopathology
Carotid Intima-Media Thickness
Case-Control Studies
echotracking system
Female
Humans
Male
Middle Aged
Peptides, Cyclic - immunology
Predictive Value of Tests
Pulse Wave Analysis
pulse wave velocity
Rheumatoid arthritis
Rheumatoid Factor - blood
Risk Factors
Serologic Tests
seronegative
seropositive
Vascular Stiffness
title Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis
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