Carvalho M, Soares R, Ribeiro F, Gaião L, Rosa M, Rodrigues M, Silva J, Queiroz M V, Carrageta M
Cadeira de Medicina III-A, Faculdade de Medicina de Lisboa.
Rev Port Cardiol. 1990 Apr;9(4):311-7.
To analyze the rhythmic profile in patients with psoriatic arthritis (PA).
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.
Patients followed in a specialised rheumatology consultation, in Santa Maria Hospital.
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.
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.
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.
分析银屑病关节炎（PA）患者的节律特征。
为评估PA患者的节律特征，我们对连续就诊于动态心电图实验室的22例患者进行了24小时动态心电图记录。
在圣玛丽亚医院的专科风湿病门诊对患者进行随访。
我们研究了22例患者，男性10例，女性12例，年龄49.8±8.4岁，平均在12.9年前被诊断为PA。以36名个体作为对照组，其中男性25例，女性11例，年龄37±8岁，无疾病。
所有患者均为窦性心律，平均心率为71±6（最低 - 51.5±7.0，最高 - 130.3±15.0）。8例（36.6%）患者出现心率低于50次/分钟的窦性心动过缓，15例（68.1%）患者出现心率高于120次/分钟的窦性心动过速。2例（9%）患者出现室上性心动过速，1例出现房室传导阻滞。14例（63.6%）患者出现房性早搏，9例（40.9%）患者出现室性心律失常。在对照组中，16.6%的人出现窦性心动过缓，33.3%的人出现窦性心动过速，33.3%的人出现房性早搏，25%的人出现室性心律失常；11%的人存在传导障碍。
a）房性早搏是最常见的节律紊乱。b）PA患者窦性心动过缓和窦性心动过速的发生率显著更高。c）心脏传导障碍并不常见。d）我们的结果可能提示银屑病关节炎患者存在轻微的自主神经功能障碍。
