Coronary Artery Calcification Is Related to Inflammation in Rheumatoid Arthritis: A Long-Term Follow-Up Study
Joint Authors
Wållberg-Jonsson, Solveig
Wahlin, Bengt
Meedt, Thomas
Jonsson, Fredrik
Henein, Michael Y.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-28
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
A long-term follow-up of patients with rheumatoid arthritis (RA) to evaluate factors related to coronary artery calcification (CAC).
Methods.
All 22 eligible patients (4 males/18 females, mean age 65 years, and RA-duration 30–36 years) from the original (baseline; n = 39 ) study of atherosclerosis were included.
Inflammation, cardiovascular risk factors, and biomarkers were measured at baseline.
At follow-up 13 years later, CAC was assessed by computed tomography (CT) and the grade of inflammation was measured.
Multivariate analysis of differences between patients with low (0–10) and high CAC (>10) was done by orthogonal projection to latent structures (OPLS).
Results.
Ten patients had CAC 0–10 and 12 had >10 (range 18–1700).
Patients with high CAC had significantly higher ESR (24.3 versus 9.9 mm/h) and swollen joint count (2 versus 0).
The OPLS models discriminated between patients having high or low CAC.
With only baseline variables, the sensitivity was 73% and the specificity 82%.
The model that also included inflammatory variables from follow-up had a sensitivity of 89% and a specificity of 85%.
Exclusion of baseline intima media thickness and plaque from the latter model modestly reduced the accuracy (sensitivity 80% and specificity 83%).
Conclusions.
CAC is related to inflammation in patients with RA.
American Psychological Association (APA)
Wahlin, Bengt& Meedt, Thomas& Jonsson, Fredrik& Henein, Michael Y.& Wållberg-Jonsson, Solveig. 2016. Coronary Artery Calcification Is Related to Inflammation in Rheumatoid Arthritis: A Long-Term Follow-Up Study. BioMed Research International،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1096841
Modern Language Association (MLA)
Wahlin, Bengt…[et al.]. Coronary Artery Calcification Is Related to Inflammation in Rheumatoid Arthritis: A Long-Term Follow-Up Study. BioMed Research International No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1096841
American Medical Association (AMA)
Wahlin, Bengt& Meedt, Thomas& Jonsson, Fredrik& Henein, Michael Y.& Wållberg-Jonsson, Solveig. Coronary Artery Calcification Is Related to Inflammation in Rheumatoid Arthritis: A Long-Term Follow-Up Study. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1096841
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096841