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Cardiovascular Rheumatic Diseases, An Issue of Rheumatic Disease Clinics, E-Book

Cardiovascular Rheumatic Diseases, An Issue of Rheumatic Disease Clinics, E-Book

Richard D Brasington

(2014)

Additional Information

Book Details

Abstract

Chronic joint pain is often associated with rheumatic diseases, but rheumatic diseases can also cause damage to vital organs including the heart. This articles in this issue will cover cardiac involvement in a variety of rheumatic diseases with discussions abotu clinical presentations and mechanistic aspects.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Cardiovascular Rheumatic Diseases\r i
Copyright\r ii
Contributors iii
Contents v
Rheumatic Disease Clinics\rOf North America\r viii
Foreword ix
Preface xi
The Heart in Inflammatory Myopathies 1
Key points 1
Introduction 1
Methods 2
Results 3
Cardiomyopathies: Myocarditis 3
Cardiomyopathies: Structural/Electrophysiologic Abnormalities 4
CAD and Cerebral Vascular Disease 5
Cardiovascular Risk Factors 5
Laboratory Testing for Cardiac Involvement 6
Cardiac Symptoms and Outcomes 6
Treatments 7
Summary 8
References 9
The Heart in Vasculitis 11
Key points 11
Introduction 11
Large-vessel vasculitis 12
Takayasu Arteritis 12
Giant Cell Arteritis 15
Medium-vessel vasculitis 15
Polyarteritis Nodosa 15
Small-vessel vasculitis 17
Eosinophilic Granulomatosis with Polyangiitis 17
Granulomatosis with Polyangiitis and Microscopic Polyangiitis 18
Cryoglobulinemic Vasculitis 18
Variable-size vasculitis 19
Behcet’s Disease 19
Summary 20
References 21
Cardiovascular Disease in Rheumatoid Arthritis 27
Key points 27
Introduction 27
Cardiac disease as an extra-articular manifestation of RA 28
Pericarditis 28
Valvular Heart Disease 28
Myocardial Disease 29
Myocardial Dysfunction Related to RA Medication 30
Cardiac Amyloidosis 31
Coronary Arteritis 31
Atherosclerotic disease in RA 31
Traditional Risk Factors for CVD in RA 32
Dyslipidemia 32
HTN 33
Insulin resistance 34
Age 34
Body mass index 34
Smoking 35
Cardiovascular Risk Factors Associated with RA 35
Disease duration and its impact on CVD 35
Seropositivity and presence of shared epitope 35
Inflammation as a risk factor for atherosclerosis 36
Role of medications in cardiovascular risk in RA 36
NSAIDs 36
Glucocorticoids 37
Risk Assessment for CVD in RA 37
Management of Cardiovascular Risks in Patients with RA 38
Cardiovascular Risk Reduction by Disease Control 39
Summary 39
References 39
Cardiac Manifestations of Systemic Lupus Erythematosus 51
Key points 51
Neonatal lupus and congenital heart block 51
Pericarditis 52
Myocarditis and cardiomyopathy 53
CAD 54
Valvular disease 55
Summary 56
References 56
The Heart and Pediatric Rheumatology 61
Key points 61
Kawasaki disease 61
Diagnosis 62
Pathophysiology 63
Management 65
Prognosis 66
Acute rheumatic fever 67
Epidemiology 67
Pathogenesis of Carditis in ARF 68
Diagnosis of ARF 69
Cardiac Manifestations of ARF 70
Treatment of Carditis 71
Prevention 72
Poststreptococcal reactive arthritis 72
Clinical Presentation 72
Neonatal lupus erythematosus 73
Juvenile dermatomyositis 75
Ehlers-Danlos syndromes 76
Marfan syndrome 76
Systemic juvenile idiopathic arthritis 77
References 78
Systemic Sclerosis and the Heart 87
Key points 87
Introduction 87
Incidence and prognosis 89
Myocardial disease 89
Myocardial Fibrosis and Ventricular Diastolic Dysfunction 90
Ventricular Systolic Dysfunction 92
Myositis and Myocarditis 93
Pericardial disease 93
Acute and Chronic Pericarditis 94
Conduction disease and dysrhythmias 94
Vascular disease and less common manifestations 95
Diagnostic evaluation 97
Future directions and summary 98
References 98
Pulmonary Arterial Hypertension Related to Connective Tissue Disease 103
Key points 103
Introduction and definition 103
Classification of PH 104
Pathogenesis 104
Clinical presentation 106
Diagnosis 107
Screening 107
Confirmation 107
Severity and Prognosis 108
Etiology 108
Diagnostic workup in CTD APAH 109
PH in CTD 109
Scleroderma 110
SLE 111
Sjogren syndrome 111
Rheumatoid arthritis 111
MCTD 111
Polymyositis/dermatomyositis 112
Treatment 112
Prostacyclin analogues 112
Endothelin-receptor antagonists 114
Phosphodiesterase 5 inhibitors 115
Investigational agents 115
Tyrosine Kinase Inhibitors 115
Guanylate Cyclase Stimulators 116
NO 116
Combination of drug groups 116
Lung transplantation 117
Summary 117
References 118
Gout and the Heart 125
Key points 125
Introduction 125
Association between gout and CVD 128
Case Series and Cross-sectional Studies 128
Case-control and Cohort Studies 128
Association between gout and congestive heart failure 135
Association between gout and other CVD risk factors 135
Gout medications and CVD outcomes 135
Potential pathophysiologic pathways 139
Public health significance and summary 140
References 141
Index 145