Examination of the epicardial fat area in patients with rheumatoid arthritis by computed tomography of the thorax

Nisa Başpınar; Orhan Solak; İsmail Şalk; Ferhat Sezer

doi:10.7197/223.vi.613537

EN

Examination of the epicardial fat area in patients with rheumatoid arthritis by computed tomography of the thorax

Abstract

Objective: Rheumatoid arthritis (RA) is an autoimmune and inflammatory disease. The prevalence of cardiovascular diseases (CVDs) increases in RA. The CVDs were shown as the major cause of death in RA. In this study, it was aimed to determine the difference between the patients and the control group by measuring the epicardial adipose tissue (EAT) at the left major coronary artery, which is known as one of the major risk factors for CVDs in RA patients who underwent computerized tomography (CT) of the thorax due to any reason, through the CT.

Method: The study includes 87 patients diagnosed with RA in the remission period and 45 healthy people as the control group. The files and archive records were reviewed and the clinical features of the patient and control groups, the EAT areas in the thorax CT performed, ascending aorta, pulmonary truncus, and pulmonary artery diameters, as well as, the cardiothoracic rates (CTR) measured with CT were recorded.

Results: There was no significant difference between the groups in terms of age and gender (p>0.05). It was determined that the EAT measured with CT increased in patients diagnosed with RA compared to the control group and this increase was closely related to the aortic and pulmonary artery width (p<0.05). In addition, the increase in the EAT area was directly proportional with the CTR in patients diagnosed with RA (p<0.05). It was seen that the ascending aorta diameter, pulmonary truncus diameter, and right and left pulmonary artery diameters increased compared to the control group (p<0.05).

Conclusions: In the present study, it was determined that the EAT measured with CT increased in patients with RA compared to normal people and this increase was closely related to the aortic and pulmonary artery width. In addition, the increase in the EAT area was directly proportional with the CTR in patients diagnosed with RA. The patients with RA were under a significant risk compared to normal people in terms of the development of CVDs. It is considered that more prospective studies including patients diagnosed with RA should be conducted.

Keywords

Rheumatoid Arthritis,Epicardial adipose tissue,EAT,Cardiovascular Disease,Computerized Tomography

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Nisa Başpınar ^*
0000-0003-4240-6001
Türkiye

Orhan Solak
0000-0002-2298-5440

İsmail Şalk
0000-0002-5156-6923

Ferhat Sezer

Yayımlanma Tarihi

30 Eylül 2019

Gönderilme Tarihi

31 Ağustos 2019

Kabul Tarihi

2 Eylül 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 41 Sayı: 3

DOI

https://doi.org/10.7197/223.vi.613537

IZ

https://izlik.org/JA26JR36EY

Kaynak Göster

RIS / Bibtex

AMA

1.Başpınar N, Solak O, Şalk İ, Sezer F. Examination of the epicardial fat area in patients with rheumatoid arthritis by computed tomography of the thorax. CMJ. 2019;41(3):506-515. doi:10.7197/223.vi.613537

Cited By

Increased epicardial adipose tissue thickness as a sign of subclinical atherosclerosis in patients with rheumatoid arthritis and ıts relationship with disease activity ındices

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https://doi.org/10.1007/s11739-024-03542-6

Correlation Between Aortic Adipose Tissue and the Indexed Aortic Diameter According to CT Angiography Findings

International Cardiovascular Research Journal

https://doi.org/10.5812/icrj-137976

Öz

Examination of the epicardial fat area in patients with rheumatoid arthritis by computed tomography of the thorax

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster

Cited By

Increased epicardial adipose tissue thickness as a sign of subclinical atherosclerosis in patients with rheumatoid arthritis and ıts relationship with disease activity ındices

Correlation Between Aortic Adipose Tissue and the Indexed Aortic Diameter According to CT Angiography Findings