Epicardial adipose tissue thickness is associated with disease severity in patients with newly- diagnosed ankylosing spondylitis

INTRODUCTION: Cardiovascular (CV) disease is a welldescribed co-morbidity in patients with inflammatory arthritis. Epicardial adipose tissue (EAT) contributes to the development and progression of coronary atherosclerosis independent of traditional CV risk factors. In this study, we aimed to investigate whether EAT thickness determined by transthoracic echocardiography (TTE) in newly-diagnosed ankylosing spondilitis (AS) patients is associated with AS severity. METHODS: In this retrospective study, TTE reports of newlydiagnosed AS patients were reviewed. Age- and gendermatched control subjects who fulfilled the inclusion criteria were also included in the study. RESULTS: 100 subjects [40.00 (34.25- 48.00) years, 65% male] were included in the study. EAT thickness was significantly increased in AS patients when compared to the controls (p

Yeni tanı konulan ankilozan spondilitli hastalarda epikardiyal yağ dokusu kalınlığı hastalık ciddiyeti ile ilişkilisi

GİRİŞ ve AMAÇ: İnflamatuar hastalıklarda kardiyovasküler hastalıkların eşlik ettiği daha önceki çalışmalarda tanımlanmıştır. Geleneksel risk faktörlerinin yanı sıra epikardiyal yağ dokusu koroner ateroskleroz gelişim ve ilerlemesine katkıda bulunur. Bu çalışmada yeni tanı konulan ankilozan spondilitli (AS) hastalarda transtorasik ekokardiyografi ile ölçülen epikardiyal yağ doksu kalınlığı ile hastalık ciddeti arasındaki ilişkiyi araştırmayı amaçladık. YÖNTEM ve GEREÇLER: Bu retrospektif çalışmada yeni tanı konulan ankilozan spondilitli hastaların transtorasik ekokardiyografi raporları tarandı. Ayrıca katılım kriterlerini sağlayan yaş ve cinsiyet eşlenik bireyler control grubu olarak çalışmaya dahil edildi. BULGULAR: 100 birey [40.00 (34.25- 48.00) yıl, 65% erkek] çalışmaya dahil edildi. Epikardiyal yağ dokusu kalınlığı AS’li hastalarda control grubuna göre artmıştı (p

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1. Lindqvist E, Eberhardt K. Mortality in rheumatoid arthritis patients with disease onset in the 1980s. Ann Rheum Dis. 1999;58(1):11-4.

2. Maradit-Kremers H, Crowson CS, Nicola PJ, Ballman KV, Roger VL, Jacobsen SJ, et al. Increased unrecognized coronary heart disease and sudden deaths in rheumatoid arthritis: a populationbased cohort study. Arthritis and rheumatism. 2005;52(2):402-11.

3. Maradit-Kremers H, Nicola PJ, Crowson CS, Ballman KV, Gabriel SE. Cardiovascular death in rheumatoid arthritis: a population-based study. Arthritis and rheumatism. 2005;52(3):722-32.

4. Gabriel SE. Cardiovascular morbidity and mortality in rheumatoid arthritis. The American journal of medicine. 2008;121(10 Suppl 1):S9-14.

5. Gensler LS. Axial spondyloarthritis: the heart of the matter. Clin Rheumatol. 2015;34(6):995-8.

6. Mason JC, Libby P. Cardiovascular disease in patients with chronic inflammation: mechanisms underlying premature cardiovascular events in rheumatologic conditions. European heart journal. 2015;36(8):482-9c.

7. Rabkin SW. Epicardial fat: properties, function and relationship to obesity. Obes Rev. 2007;8(3):253-61.

8. Pierdomenico SD, Pierdomenico AM, Cuccurullo F, Iacobellis G. Meta-analysis of the relation of echocardiographic epicardial adipose tissue thickness and the metabolic syndrome. The American journal of cardiology. 2013;111(1):73-8.

9. Iacobellis G, Ribaudo MC, Assael F, Vecci E, Tiberti C, Zappaterreno A, et al. Echocardiographic epicardial adipose tissue is related to anthropometric and clinical parameters of metabolic syndrome: a new indicator of cardiovascular risk. J Clin Endocrinol Metab. 2003;88(11):5163-8.

10. Iacobellis G, Leonetti F. Epicardial adipose tissue and insulin resistance in obese subjects. The Journal of clinical endocrinology and metabolism. 2005;90(11):6300-2.

11. Mahabadi AA, Lehmann N, Kalsch H, Robens T, Bauer M, Dykun I, et al. Association of epicardial adipose tissue with progression of coronary artery calcification is more pronounced in the early phase of atherosclerosis: results from the Heinz Nixdorf recall study. JACC Cardiovasc Imaging. 2014;7(9):909-16.

12. Mahabadi AA, Berg MH, Lehmann N, Kalsch H, Bauer M, Kara K, et al. Association of epicardial fat with cardiovascular risk factors and incident myocardial infarction in the general population: the Heinz Nixdorf Recall Study. Journal of the American College of Cardiology. 2013;61(13):1388-95.

13. Sade LE, Eroglu S, Bozbas H, Ozbicer S, Hayran M, Haberal A, et al. Relation between epicardial fat thickness and coronary flow reserve in women with chest pain and angiographically normal coronary arteries. Atherosclerosis. 2009;204(2):580- 5.

14. Eroglu S, Sade LE, Yildirir A, Bal U, Ozbicer S, Ozgul AS, et al. Epicardial adipose tissue thickness by echocardiography is a marker for the presence and severity of coronary artery disease. Nutrition, metabolism, and cardiovascular diseases : NMCD. 2009;19(3):211-7.

15. Iacobellis G, Lonn E, Lamy A, Singh N, Sharma AM. Epicardial fat thickness and coronary artery disease correlate independently of obesity. International journal of cardiology. 2011;146(3):452-4.

16. van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis and rheumatism. 1984;27(4):361-8.

17. Machado P, Landewe R, Lie E, Kvien TK, Braun J, Baker D, et al. Ankylosing Spondylitis Disease Activity Score (ASDAS): defining cut-off values for disease activity states and improvement scores. Ann Rheum Dis. 2011;70(1):47-53.

18. van der Heijde D, Lie E, Kvien TK, Sieper J, Van den Bosch F, Listing J, et al. ASDAS, a highly discriminatory ASAS-endorsed disease activity score in patients with ankylosing spondylitis. Ann Rheum Dis. 2009;68(12):1811-8.

19. Gensler LSW, M.M; Lee, M.J.; Rahbar, M.; Brown, M.A.; Reveille, J.D.; Weisman, M.H. Cardiovascular disease is associated with worse functional outcomes in ankylosing spondylitis. [abstract]. Arthritis and rheumatism. 2013;65 (Suppl 10):2448.

20. Heslinga SC, Van Dongen CJ, Konings TC, Peters MJ, Van der Horst-Bruinsma IE, Smulders YM, et al. Diastolic left ventricular dysfunction in ankylosing spondylitis--a systematic review and meta-analysis. Semin Arthritis Rheum. 2014;44(1):14-9.

21. Mathieu S, Gossec L, Dougados M, Soubrier M. Cardiovascular profile in ankylosing spondylitis: a systematic review and meta-analysis. Arthritis care & research. 2011;63(4):557-63.

22. Szabo SM, Levy AR, Rao SR, Kirbach SE, Lacaille D, Cifaldi M, et al. Increased risk of cardiovascular and cerebrovascular diseases in individuals with ankylosing spondylitis: a population-based study. Arthritis and rheumatism. 2011;63(11):3294-304.

23. Bremander A, Petersson IF, Bergman S, Englund M. Population-based estimates of common comorbidities and cardiovascular disease in ankylosing spondylitis. Arthritis care & research. 2011;63(4):550-6.

24. Brophy S, Cooksey R, Atkinson M, Zhou SM, Husain MJ, Macey S, et al. No increased rate of acute myocardial infarction or stroke among patients with ankylosing spondylitis-a retrospective cohort study using routine data. Semin Arthritis Rheum. 2012;42(2):140-5.

25. Huang YP, Wang YH, Pan SL. Increased risk of ischemic heart disease in young patients with newly diagnosed ankylosing spondylitis--a population-based longitudinal follow-up study. PloS one. 2013;8(5):e64155.

26. Resorlu H, Akbal A, Resorlu M, Gokmen F, Ates C, Uysal F, et al. Epicardial adipose tissue thickness in patients with ankylosing spondylitis. Clin Rheumatol. 2015;34(2):295-9.

27. Iacobellis G, Willens HJ. Echocardiographic epicardial fat: a review of research and clinical applications. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. 2009;22(12):1311-9; quiz 417-8.

28. Nelson AJ, Worthley MI, Psaltis PJ, Carbone A, Dundon BK, Duncan RF, et al. Validation of cardiovascular magnetic resonance assessment of pericardial adipose tissue volume. J Cardiovasc Magn Reson. 2009;11:15.

29. Fluchter S, Haghi D, Dinter D, Heberlein W, Kuhl HP, Neff W, et al. Volumetric assessment of epicardial adipose tissue with cardiovascular magnetic resonance imaging. Obesity (Silver Spring). 2007;15(4):870-8.

30. Schejbal V. [Epicardial fatty tissue of the right ventricle--morphology, morphometry and functional significance]. Pneumologie. 1989;43(9):490-9.

31. Fox CS, Gona P, Hoffmann U, Porter SA, Salton CJ, Massaro JM, et al. Pericardial fat, intrathoracic fat, and measures of left ventricular structure and function: the Framingham Heart Study. Circulation. 2009;119(12):1586-91.

32. Gorter PM, de Vos AM, van der Graaf Y, Stella PR, Doevendans PA, Meijs MF, et al. Relation of epicardial and pericoronary fat to coronary atherosclerosis and coronary artery calcium in patients undergoing coronary angiography. Am J Cardiol. 2008;102(4):380-5.
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  • ISSN: 2147-0758
  • Başlangıç: 2012
  • Yayıncı: -
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