Cardiology - Editorial
Vol. 89 No. 3 (2019)
https://doi.org/10.4081/monaldi.2019.1137

Diastolic dysfunction in rheumatoid arthritis: a usual travel-mate?

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Received: 24 July 2019
Published: 10 September 2019
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diastolic dysfunction, rheumatoid arthritis, cardiovascular events

Authors

Ilaria Cavazzana
ilariacava@virgilio.it
https://orcid.org/0000-0002-2757-7120 (unauthenticated)
Rheumatology Unit, ASST Spedali Civili, Brescia, Italy.
Enrico Vizzardi
https://orcid.org/0000-0002-3544-6104 (unauthenticated)
Section of cardiovascular disease, ASST Spedali Civili; Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Italy.
Franco Franceschini
https://orcid.org/0000-0003-3678-6124 (unauthenticated)
Rheumatology Unit, ASST Spedali Civili; Experimental and Clinical Science Department, University of Brescia, Italy.

A high rate of left ventricular diastolic dysfunction (LVDD) has been described in rheumatoid arthritis (RA), compared with general population. A prospective study demonstrated that LVDD occurred in 24% in one year of follow-up in RA patients without cardiac disease. Older age, higher systolic arterial pressure and lower E/A ratio are considered predictive factors. In addition, in RA, LVDD is known to be the only risk factor for the development of cardiovascular (CV) events, also in absence of classical CV risk factors. Some occasional reports suggest that early and aggressive treatment of RA could influence the evolution of LVDD and, accordingly, modify the rate of CV events. Therefore, a correct assessment of diastolic function should be considered of pivotal importance in the routine follow-up of RA patients.

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“Diastolic Dysfunction in Rheumatoid Arthritis: A Usual Travel-Mate?”. 2019. Monaldi Archives for Chest Disease 89 (3). https://doi.org/10.4081/monaldi.2019.1137.

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