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强直性脊柱炎的心血管表现

Cardiovascular manifestations of ankylosing spondylitis.

作者信息

Sukenik S, Pras A, Buskila D, Katz A, Snir Y, Horowitz J

机构信息

Rheumatology Unit, Soroka Medical Center, Beer Sheva, Israel.

出版信息

Clin Rheumatol. 1987 Dec;6(4):588-92. doi: 10.1007/BF02330598.

DOI:10.1007/BF02330598
PMID:3449309
Abstract

In a retrospective study, 40 patients with ankylosing spondylitis were assessed for extraspinal manifestations. Cardiovascular complications were found in 17 patients (42.5%): 5 (12.5%) had aortic insufficiency, 3 (7.5%) had atrioventricular block and 5 (12.5%) had bundle branch block. Wolff-Parkinson-White syndrome was diagnosed in one case and short PR syndrome in another. Cardiovascular complications were more common in patients with longer disease duration. Ischemic heart disease was found in 17.5% of the cases and pulmonary fibrosis in 15%. Peripheral arthritis was found in 42.5% and its prevalence did not differ in patients with or without cardiac involvement.

摘要

在一项回顾性研究中,对40例强直性脊柱炎患者的脊柱外表现进行了评估。17例患者(42.5%)出现心血管并发症:5例(12.5%)有主动脉瓣关闭不全,3例(7.5%)有房室传导阻滞,5例(12.5%)有束支传导阻滞。1例诊断为预激综合征,另1例为短PR综合征。心血管并发症在病程较长的患者中更为常见。17.5%的病例发现有缺血性心脏病,15%有肺纤维化。42.5%的患者有外周关节炎,其患病率在有或无心脏受累的患者中无差异。

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