Evidence map›Paper›PMID 28407841›Full record

ReviewDeutsches Arzteblatt international2017

Cardiovascular Comorbidity in Inflammatory Rheumatological Conditions.

Jürgen Braun, Klaus Krüger, Bernhard Manger, Matthias Schneider, Christof Specker, Hans Joachim Trappe

Registry-linked trialAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04197050 (Effect of Sacubitril/Valsartan on Right Ventricular Dysfunctioning Patients With Connective Tissue Disease), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04197050 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of Sacubitril/Valsartan on Right Ventricular Dysfunctioning Patients With Connective Tissue Disease

TypeinterventionalSponsorRenJi HospitalRan2020 to 2022Enrolled60ConditionsMyocardial Injury, Connective Tissue DiseasesArmsSacubitril / Valsartan Oral Tablet
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Review
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  12. Outcomes of Total Hip Arthroplasty in Patients With Acetabular Protrusio.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Cardiac disease in familial Mediterranean fever.Rheumatology international · 2018
    Review
  19. Rheumatic Heart Disease Still Relevant.Deutsches Arzteblatt international · 2017
    Article
  20. Cardiovascular Comorbidities.Deutsches Arzteblatt international · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Jürgen BraunRheumazentrum Ruhrgebiet, Herne; Rheumazentrum München, Munich; Department of Medicine 3, Universitätsklinikum Erlangen; Department of Rheumatology, Hiller Research Center Rheumatology, University Hospital Düsseldorf; Department of Rheumatology and Clinical Immunology, St. Josef Krankenhaus, Essen University Hospital; Department of Cardiology, Marien-Hospital Herne, University Hospitals of the Ruhr University of Bochum.
Klaus Krüger
Bernhard Manger
Matthias Schneider
Christof Specker
Hans Joachim Trappe
Rheumazentrum Ruhrgebiet · DEHeinrich Heine University Düsseldorf · DESt. Josef Krankenhaus · DEUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 1.5 million adults in Germany suffer from an inflammatory rheumatological condition. The most common among these are rheumatoid arthritis and spondyloarthritis-above all axial spondyloarthritis, including ankylosing spondylitis (Bekhterev's disease) and psoriatic arthritis. These systemic inflammatory diseases often affect the heart as well.

methodsThis review is based on pertinent articles retrieved by a selective literature search, on current European guidelines, and on the authors' clinical experience.

resultsRheumatic inflammation of cardiac structures can manifest itself as pericarditis, myocarditis, or endocarditis. The heart valves and the intracardiac conduction system can be affected as well, leading to AV block. Functional sequelae, e.g., congestive heart failure, can arise as a consequence of any inflammatory rheumatic disease. The long-term mortality of rheumatic diseases is elevated predominantly because of the increased risk for cardiovascular comorbidities. The cardiovascular risk profile should therefore be re-evaluated regularly (e.g., at 5-year intervals) in cooperation with the patient's primary care physician. The cardiovascular manifestations of rheumatic disease, such as pericarditis, myocarditis, and vasculitis, are treated initially with high-dose glucocorticoids and then over the long term with maintenance drugs such as methotrexate and azathioprine. Biological agents are sometimes used as well.

conclusionIn patients with inflammatory rheumatic diseases, the elevated cardiovascular risk should be kept in mind and preventive measures should be initiated early. This subject should be further studied in controlled trials so that the treatment options for patients with cardiac involvement can be evaluated.

Indexed as

AdultArthritis, RheumatoidCardiovascular DiseasesComorbidityGermanyHumansInflammationRheumatic DiseasesSpondylitis, Ankylosing

Identifiers

PMID28407841
PMCPMC5397890
OpenAlexW2802221399

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.