[Rhythm profile in patients with psoriatic arthritis].
OBJECTIVE
To analyze the rhythmic profile in patients with psoriatic arthritis (PA).


METHODS
In order to evaluate the rhythmic profile of patients with PA, we have carried out ambulatory 24 hour ECG recordings in 22 patients presented consecutively to the Holter ECG laboratory.


METHODS
Patients followed in a specialised rheumatology consultation, in Santa Maria Hospital.


METHODS
We have studied 22 patients (pts), 10 male and 12 female, aged 49.8 +/- 8.4 years, presenting PA diagnosed in average 12.9 years before. A group of 36 individuals, 25 male and 11 female, aged 37 +/- 8 years and without disease, were used as control.


RESULTS
All patients were in sinus rhythm with a mean heart rate of 71 +/- 6 (min - 51.5 +/- 7.0 and max - 130.3 +/- 15.0). In 8 (36.6%) there were sinus bradycardia less than 50/min and sinus tachycardia (greater than 120/min) in 15 patients (68.1%). Two patients (9%) presented supraventricular tachycardia and one had AV block. There were premature atrial systoles in 14 pts (63.6%), and ventricular arrhythmias in 9 (40.9%). In control group, there were sinus bradycardia in 16.6%, sinus tachycardia in 33.3%, premature atrial systoles in 33.3% and ventricular arrhythmias in 25% of them; in 11% there were conduction disturbances.


CONCLUSIONS
a) Premature atrial systoles were the rhythm disturbance more prevalent. b) Patients with PA presented a significant higher incidence of sinus bradycardia and sinus tachycardia. c) Cardiac conduction disturbances were not frequent. d) Our results may suggest the presence of a subtle autonomic dysfunction in patients with psoriatic arthritis.
Carvalho
M
M
Cadeira de Medicina III-A, Faculdade de Medicina de Lisboa.
Soares
R
R
Ribeiro
F
F
Gaião
L
L
Rosa
M
M
Rodrigues
M
M
Silva
J
J
Queiroz
M V
MV
Carrageta
M
M
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000150:complications* / Q000503:physiopathology; D015535:Arthritis, Psoriatic / Q000150:complications* / Q000503:physiopathology; D015716:Electrocardiography, Ambulatory; D005260:Female; D006327:Heart Block / Q000150:complications / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged
Perfil rítmico em doentes com artrite psoriática.