Asso FRAİDOON, Raof MERZA, Kosar MOHAMMAD, Osama Shukir Muhammed AMİN, Rozhgar ABDULLAH

Romatoid Artrit ve Ayak Bileği-Brakiyal Baskı Endeksi Arasında Herhangi Bir İlişki Var mı?

Amaç: Çeşitli çalışmalar, periferal arterler üzerinde romatoid artrit etkisini (RA) değerlendirmeyi araştırmış ve intimal kalınlaşmanın geç gelişimi ve ateroskleroz arasında bir ilişki bulmuştur. Biz romatoid artrit hastalarında subklinik periferik damar hastalığının (PVD) yaygınlığını ortaya çıkarmayı denedik. Materyal ve Metod : Bu vaka kontrol çalışmasına romatoid tanısı almış 60 hasta dahil oldu. Kırk yaş, cinsiyet ve vücut kitle indeksi uyumlu sağlıklı bireyler kontrol grubu olarak seçildi. Tüm katılımcılar sigara içmeyen, hipertansif ve diyabet olmayan, normal lipid profiline sahip bireylerdi. Periferik arter hastalığı varlığı alt ekstremitenin her arter düzeyinde ayak bileği-kol basınç indeksi (ABPI) ölçülerek değerlendirildi. 0.9 ≤ indeks anormal olarak kabul edildi ve PVD" nin altında yatan olası bir yansıma olduğu düşünüldü. Bulgular: 40 kontrol bireyin sadece 3"ünün (% 7.5) anormal sonuçları (p-değeri

Anahtar Kelimeler:

Romatoid artrit, ayak bileği-kol basınç indeksi; periferik damar hastalığı

Rheumatoid Arthritis and the Ankle-Brachial Pressure Index: Any Association?

Purpose: Several studies tried to assess the influence of rheumatoid arthritis (RA) on peripheral arteries and found an association with later development of intimal thickness and atherosclerosis. We tried to uncover the prevalence of subclinical peripheral vascular disease (PVD) in rheumatoid arthritis patients. Materials and Methods: This case control-study had involved sixty patients who were diagnosed with rheumatoid. Forty age, gender, and body mass index-matched healthy individuals were selected as the control group. All participants were non-smokers, non-hypertensive, and non-diabetics and had a normal lipid profile. The presence of peripheral arterial disease was evaluated by measuring the ankle-brachial pressure index (ABPI) at the level of each artery of the lower limbs. An index of ≤0.9 was considered abnormal and a possible reflection of an underlying PVD. Results: Twenty three (38%) out of the 60 RA patients demonstrated one or more abnormal arteries while only 3 (7.5%) out of the 40 control individuals had abnormal results (p-value

Keywords:

rheumatoid arthritis; ankle- brachial pressure index; peripheral vascular disease,

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Yazışma Adresi / Address for Correspondence: Osama Shukir Muhammed Amin Sulaimaniya City Post-Office, PO BOX 196, Sulaimaniya City, IRAQ Mobile: 009647703515964
E-mail: dr.osama.amin@gmail.com geliş tarihi/received :28.08.2012 kabul tarihi/accepted:25.09.2012