Constitutional symptoms at the onset of rheumatoid arthritis and subsequent arterial stiffness

Michael A. Crilly, A. G. MacDonald, David Williams, Vinod Kumar, Hazel Clark

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The onset of rheumatoid arthritis (RA) can be associated with constitutional symptoms. Systemic inflammation may be a common factor behind such symptoms and the subsequent development of arterial disease. The aim of this study was to determine if a relationship exists between constitutional symptoms and arterial stiffness. We recruited 103 ambulatory RA patients (85 female) without overt arterial disease aged between 40 and 65 years attending hospital clinics. A research nurse measured arterial stiffness (heart rate standardised augmentation index, AIX) using the ‘SphygmoCor’ device, fasting lipids and erythrocyte sedimentation rate (ESR). Assessment included patient recall of constitutional symptoms at arthritis onset (aching muscles, tiredness, generalised weakness, low mood/depression, fever, loss of weight, loss of appetite) and a detailed medical record review. Regression analysis was used to adjust mean differences in AIX in the presence/absence of constitutional symptoms for current age, sex, arthritis duration, age arthritis onset, study ESR, ever smoked, mean arterial blood pressure (BP), treated hypertension and cholesterol. Mean age was 54 years (age arthritis onset 42 years), brachial BP 125/82 mmHg, cholesterol 5.4 mmol/L, ever smoked 59%, median RA duration 9 years, median ESR 16 mm/h and mean AIX 31.7 (SD 7.8). Unadjusted mean difference in AIX was −0.7 (95%CI −4.5 to 3.1; p = 0.72) in the presence of constitutional symptoms and the adjusted mean difference was −0.1 (−3.2 to 2.9; p = 0.93). No individual symptoms were significantly associated with increased arterial stiffness. In conclusion, we found no convincing association between constitutional symptoms at the onset of arthritis and subsequent arterial stiffness.
Original languageEnglish
Pages (from-to)1113-1119
Number of pages7
JournalClinical Rheumatology
Volume29
Issue number10
Early online date13 Jun 2010
DOIs
Publication statusPublished - Oct 2010

Fingerprint

Vascular Stiffness
Arthritis
Rheumatoid Arthritis
Blood Sedimentation
Age of Onset
Arterial Pressure
Cholesterol
Appetite
Medical Records
Weight Loss
Fasting
Arm
Fever
Heart Rate
Nurses
Regression Analysis
Depression
Blood Pressure
Hypertension
Inflammation

Keywords

  • augmentation index
  • cardiovascular disease
  • pulse wave analysis
  • rheumatoid arthritis

Cite this

Constitutional symptoms at the onset of rheumatoid arthritis and subsequent arterial stiffness. / Crilly, Michael A.; MacDonald, A. G.; Williams, David; Kumar, Vinod; Clark, Hazel.

In: Clinical Rheumatology, Vol. 29, No. 10, 10.2010, p. 1113-1119.

Research output: Contribution to journalArticle

Crilly, Michael A. ; MacDonald, A. G. ; Williams, David ; Kumar, Vinod ; Clark, Hazel. / Constitutional symptoms at the onset of rheumatoid arthritis and subsequent arterial stiffness. In: Clinical Rheumatology. 2010 ; Vol. 29, No. 10. pp. 1113-1119.
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