Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity

Rheumatoid arthritis (RA) and subclinical hypothyroidism (SHT) have close pathogenetic relationships, the synergism of which worsens the clinical course and increases the risk of visceral complications. Objective: to study the ultrasound parameters of endothelial dysfunction (ED) in patients with RA...

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Main Authors: A. K. Knyazeva, E. B. Komarova, N. G. Bludova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-01-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/792
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author A. K. Knyazeva
E. B. Komarova
N. G. Bludova
author_facet A. K. Knyazeva
E. B. Komarova
N. G. Bludova
author_sort A. K. Knyazeva
collection DOAJ
description Rheumatoid arthritis (RA) and subclinical hypothyroidism (SHT) have close pathogenetic relationships, the synergism of which worsens the clinical course and increases the risk of visceral complications. Objective: to study the ultrasound parameters of endothelial dysfunction (ED) in patients with RA concurrent with SHT. Patients and methods: 139 patients with RA were divided into two groups: 1) 48 patients with RA; 2) 91 patients with RA concurrent with SHT. The ultrasound parameters of endothelial regulation of vascular tone were determined by intravascular ultrasonography using an ESAOTE MyLAB40 apparatus in accordance with the international guideline. Results and discussion. The study of endothelial regulation of vascular tone established that all the examinees with RA had ED that increased with the higher degree of activity and longer duration of RA. Patients with RA in the presence of SHT had more significant abnormalities in the ultrasound parameters of endothelial regulation of vascular tone and in the degree of ED, which increased with the longer duration and higher activity of the disease. The early detection and correction of comorbidity in patients with RA will reduce cardiovascular risk and improve quality of life.
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spelling doaj-art-5bbdf29cd6da4e63bfc17f37677c12a72025-08-04T14:00:34ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-01-01114252910.14412/1996-7012-2017-4-25-292063Endothelial dysfunction in patients with rheumatoid arthritis and comorbidityA. K. Knyazeva0E. B. Komarova1N. G. Bludova2Saint Luke Lugansk State Medical University, LuganskSaint Luke Lugansk State Medical University, LuganskSaint Luke Lugansk State Medical University, LuganskRheumatoid arthritis (RA) and subclinical hypothyroidism (SHT) have close pathogenetic relationships, the synergism of which worsens the clinical course and increases the risk of visceral complications. Objective: to study the ultrasound parameters of endothelial dysfunction (ED) in patients with RA concurrent with SHT. Patients and methods: 139 patients with RA were divided into two groups: 1) 48 patients with RA; 2) 91 patients with RA concurrent with SHT. The ultrasound parameters of endothelial regulation of vascular tone were determined by intravascular ultrasonography using an ESAOTE MyLAB40 apparatus in accordance with the international guideline. Results and discussion. The study of endothelial regulation of vascular tone established that all the examinees with RA had ED that increased with the higher degree of activity and longer duration of RA. Patients with RA in the presence of SHT had more significant abnormalities in the ultrasound parameters of endothelial regulation of vascular tone and in the degree of ED, which increased with the longer duration and higher activity of the disease. The early detection and correction of comorbidity in patients with RA will reduce cardiovascular risk and improve quality of life.https://mrj.ima-press.net/mrj/article/view/792rheumatoid arthritisendothelial dysfunctioncomorbiditydoppler ultrasound
spellingShingle A. K. Knyazeva
E. B. Komarova
N. G. Bludova
Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
Современная ревматология
rheumatoid arthritis
endothelial dysfunction
comorbidity
doppler ultrasound
title Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
title_full Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
title_fullStr Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
title_full_unstemmed Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
title_short Endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
title_sort endothelial dysfunction in patients with rheumatoid arthritis and comorbidity
topic rheumatoid arthritis
endothelial dysfunction
comorbidity
doppler ultrasound
url https://mrj.ima-press.net/mrj/article/view/792
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AT ebkomarova endothelialdysfunctioninpatientswithrheumatoidarthritisandcomorbidity
AT ngbludova endothelialdysfunctioninpatientswithrheumatoidarthritisandcomorbidity