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Cardiac Function and Diastolic Dysfunction in Behcet’s Disease: A Systematic Review and Meta-Analysis
Joint Authors
Crowson, Cynthia S.
Bandeali, Salman J.
Alam, Mahboob
Aslam, Fawad
Source
International Journal of Rheumatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-10
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Cardiovascular involvement in Behcet’s disease (BD) is reported and has variable manifestations.
It is not clear if diastolic dysfunction (DD) is increased in BD.
Our objective was to evaluate the existing literature to determine if cardiac dysfunction, particularly DD, was more prevalent in these patients.
Methods.
A systematic review and meta-analysis of the available studies analyzing the echocardiographic findings in BD was conducted using a random-effects model.
Mean differences were used to calculate the effect sizes of the echocardiographic parameters of interest.
Results.
A total of 22 studies with 1624 subjects were included in the analysis.
Patients with BD had statistically significantly larger mean left atrial dimension (0.08, p=0.0008), greater aortic diameter (0.16, p=0.02), significantly reduced ejection fraction (−1.08, p<0.0001), significantly prolonged mitral deceleration time (14.20, p<0.0001), lower E/A ratio (−0.24, p=0.05), and increased isovolumetric relaxation time (7.29, p<0.00001).
Conclusion.
DD is increased in patients with BD by the presence of several echocardiographic parameters favoring DD as compared to controls.
The meta-analysis also identified that LA dimension is increased in BD patients.
EF has also been found to be lower in BD patients.
Aortic diameter was also increased in BD patients as compared to controls.
American Psychological Association (APA)
Aslam, Fawad& Bandeali, Salman J.& Crowson, Cynthia S.& Alam, Mahboob. 2016. Cardiac Function and Diastolic Dysfunction in Behcet’s Disease: A Systematic Review and Meta-Analysis. International Journal of Rheumatology،Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1106918
Modern Language Association (MLA)
Aslam, Fawad…[et al.]. Cardiac Function and Diastolic Dysfunction in Behcet’s Disease: A Systematic Review and Meta-Analysis. International Journal of Rheumatology No. 2016 (2016), pp.1-11.
https://search.emarefa.net/detail/BIM-1106918
American Medical Association (AMA)
Aslam, Fawad& Bandeali, Salman J.& Crowson, Cynthia S.& Alam, Mahboob. Cardiac Function and Diastolic Dysfunction in Behcet’s Disease: A Systematic Review and Meta-Analysis. International Journal of Rheumatology. 2016. Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1106918
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1106918