[Cardiac involvement in spondylarthropathies].
Cardiac involvement is a real manifestation of spondylarthropathies and include specially aortic regurgitation and conduction troubles. We present a prospective open study of fifty patients with spondylarthropathy (responded to Amor criteria) in order to evaluate the frequency of cardiac involvement, to see its type and if we can evaluate a group of patients able to this complication. We have included forty-four men and six women with a mean age of 38 years. The disease evolve for 8.8 years in mean. Ag HLA B27 was present in 70% of the cases. Thirty patients have ankylosing spondylitis, although twenty have a secondary spondylarthropathy: psoriasic rheumatism (12 cases), inflammatory bowel disease: Crohn's disease (4 cases), RCH (three cases) and Fiessenger le Roy-Reiter syndrome in one case. All the patients have had a cardiac check up with research of clinical cardiac manifestation, thoracic chest, trans-thoracic echographi, Halter rhythmic done in five cases only. Cardiac involvement is found in five cases (10%): aortic regurgitation in 3 cases (6%) and mitral regurgitation in 2 cases (4%). These valvular disease are well tolerated.
Kochbati
Samir
S
Service de médecine interne, Hôpital Habib Thameur, Tunis.
Ben Miled
Mohamed
M
Boussema
Fatma
F
Ketari
Sonia
S
Ben Maatallah Kochbati
Azza
A
Kraiem
Sondos
S
Ben Amor
Golsom
G
Ben Rhouma
Samir
S
Chérif
Ouahida
O
Rokbani
Lilia
L
D000293:Adolescent; D000328:Adult; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology; D015535:Arthritis, Psoriatic / Q000150:complications / Q000175:diagnosis; D016918:Arthritis, Reactive / Q000150:complications / Q000175:diagnosis; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology; D011350:Proctocolitis / Q000150:complications / Q000175:diagnosis; D011446:Prospective Studies; D013902:Radiography, Thoracic; D025242:Spondylarthropathies / Q000150:complications* / Q000175:diagnosis; D013997:Time Factors