Symptomatic cardiac involvement in juvenile rheumatoid arthritis

Symptomatic cardiac involvement in juvenile rheumatoid arthritis

Author Goldenberg, José Autor UNIFESP Google Scholar
Ferraz, Marcos Bosi Autor UNIFESP Google Scholar
Duarte, Angela Luzia Branco Pinto Autor UNIFESP Google Scholar
Fonseca, Antonio Sergio Macedo Autor UNIFESP Google Scholar
Carvalho, Antonio Carlos Autor UNIFESP Google Scholar
Hilario, Maria Odete Esteves Autor UNIFESP Google Scholar
Atra, Edgard Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract In a retrospective study of 172 patients with juvenile rheumatoid arthritis, symptomatic cardiac involvement occurred in 13 (7.6%) patients (11 systemic and 2 polyarticular). There was predominance of the male sex and in most patients the involvement occurred in the initial years of the disease. Pericarditis occurred in seven patients; perimyocarditis in four and myocarditis in two patients. in the follow-up, one of the patients with pericarditis died of an arrhythmia during pericardiocentesis for cardiac tamponade. Among the patients with myocarditis, three died of septicemia during active disease. One of these three patients had myocarditis associated with cardiac tamponade. Among the 172 patients with juvenile rheumatoid arthritis, five children died; four belonged to the symptomatic cardiac involvement group (P < 0.001). Cardiac involvement, in particular myocarditis and cardiac tamponade, can be regarded as a factor of worse prognosis.
Keywords JUVENILE RHEUMATOID ARTHRITIS
MYOCARDITIS
PERICARDITIS
CARDIAC INVOLVEMENT
Language English
Date 1992-01-01
Published in International Journal of Cardiology. Clare: Elsevier Sci Ireland Ltd, v. 34, n. 1, p. 57-62, 1992.
ISSN 0167-5273 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 57-62
Origin http://dx.doi.org/10.1016/0167-5273(92)90082-E
Access rights Closed access
Type Article
Web of Science ID WOS:A1992GX89500007
URI http://repositorio.unifesp.br/handle/11600/25237

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