Evidence map›Paper›PMID 28427850›Full record

ArticleInternational journal of cardiology2017

Five-year changes in cardiac structure and function in patients with rheumatoid arthritis compared with the general population.

John M Davis, Grace Lin, Jae K Oh, Cynthia S Crowson, Sara J Achenbach, Terry M Therneau, Eric L Matteson, Richard J Rodeheffer, Sherine E Gabriel

Abstract readComparative Study
In one paragraph

Article in International journal of cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
  2. Inflammation and the Heart: The Role of Traditional Factors.Cardiology research and practice · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Epicardial adipose tissue in patients with systemic sclerosis.European heart journal. Imaging methods and practice · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Citrullination is linked to reduced CaActa physiologica (Oxford, England) · 2022
    Article
  15. Article
  16. Myocardial Dysfunction and Heart Failure in Rheumatoid Arthritis.Arthritis & rheumatology (Hoboken, N.J.) · 2022
    Review
  17. Review
  18. Annexin A1 attenuates cardiac diastolic dysfunction in mice with inflammatory arthritis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

John M DavisDivision of Rheumatology, Mayo Clinic, Rochester, MN, United States. Electronic address: davis.john4@mayo.edu.
Grace LinDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States.
Jae K OhDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States.
Cynthia S CrowsonDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Sara J AchenbachDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Terry M TherneauDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Eric L MattesonDivision of Rheumatology, Mayo Clinic, Rochester, MN, United States.
Richard J RodehefferDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States.
Sherine E GabrielDivision of Epidemiology, Mayo Clinic, Rochester, MN, United States; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States.

Funding

HEART DISEASE IN RHEUMATOID ARTHRITISR01AR046849 · NIAMS · MAYO CLINIC ROCHESTER · PI CROWSON, CYNTHIA S · 2000 to 2022
$11.3M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NIAMS NIH HHS R01 AR046849NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

backgroundPatients with rheumatoid arthritis (RA) have increased risk of heart failure with preserved ejection fraction. The development and progression of left ventricular dysfunction before onset of clinical heart failure are unknown. The objective of this study was to evaluate longitudinal changes in cardiac structure and function of patients with RA compared with persons in the general population.

methodsA prospective longitudinal study of a population-based cohort of 160 patients with RA and a population-based cohort of 1391 persons without RA (non-RA cohort) was performed. Each participant underwent 2-dimensional, pulsed-wave tissue Doppler echocardiography at baseline and after 4 to 5years of follow-up. Age- and sex-adjusted linear regression models were used to test for differences between the RA and non-RA cohorts in annualized rates of change for echocardiographic parameters.

resultsMitral A velocity increased more rapidly among the patients with RA than the non-RA cohort (age- and sex-adjusted parameter estimate, 0.030; P<0.001). Correspondingly, the mean mitral inflow E/A ratio decreased faster in the RA cohort than the non-RA cohort (adjusted parameter estimate, -0.096; P<0.001). The left atrial volume index increased at a higher rate in the RA cohort than the non-RA cohort (adjusted parameter estimate, 0.150; P<0.001).

conclusionsThis pattern of echocardiographic findings confirms previous cross-sectional studies and indicates that subclinical changes in diastolic function occur more rapidly over 5years in RA patients than in the general population. Further research into the mechanisms of myocardial disease in these patients and the relationship with disease activity and treatment is warranted.

Indexed as

Population SurveillanceAgedArthritis, RheumatoidCohort StudiesFemaleHeart FailureHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesTime FactorsVentricular Dysfunction, LeftEchocardiographyHeart failureRheumatoid arthritis

Identifiers

PMID28427850
PMCPMC5495559

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Registered trials

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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.