Research Article

The Impact of Different Classification Criteria Sets on the Estimated Prevalence and Associated Risk Factors of Diastolic Dysfunction in Rheumatoid Arthritis

Table 1

Recorded characteristics in 176 patients with RA.

Demographic characteristics
 Age at study time, years58.4 (12.4)
 Age at disease onset, years42.3 (14.1)
 Female sex, %81.6
Lifestyle factors
 Exercise, %32.4
 Alcohol use, %31.8
 Currently smoking, %10.1
Anthropometry
 Body mass index, kg/m226.7 (5.3)
 Waist circumference, cm91 (13)
 Waist-hip ratio0.88 (0.09)
Metabolic risk factors
 Hypertension, %40.2
 SBP, mm Hg128 (15)
 DBP, mm Hg81 (8)
 Pulse pressure, mm Hg47 (13)
 Total cholesterol, mmol/l4.5 (1.1)
 HDL cholesterol, mmol/l1.64 (0.47)
 LDL cholesterol, mmol/l2.42 (0.88)
 Triglycerides, mmol/l0.95 (0.7–1.3)
 Cholesterol-HDL ratio2.7 (2.3–3.3)
 Dyslipidemia, %49.2
 Diabetes, %5.0
 Glucose, mmol/l4.8 (4.5–5.1)
 HOMA-IR1.4 (1.0–1.9)
Cardiovascular agents, %
 Antihypertensives40.2
 Statins41.9
 Ezetimibe9.5
 Oral glucose-lowering agents1.7
 Insulin1.7
RA characteristics
 RA duration, years14.5 (8.9–22.0)
 Rheumatoid factor-positive, %73.7
 ACPA-positive, %69.5
 CDAI6 (1–13)
 DAS 282.8 (1.7)
 ESR, mm/h12 (4–26)
 CRP, mg/l3.2 (1.2–8.0)
 Leukocytes, /nl5.5 (4.6–7.1)
 Deformed joints, 0 (0–11)
 Extra-articular manifestations, %22
 Stanford HAQ-DI0.38 (0.0–0.88)
Synthetic DMARD, %
 Methotrexate75.4
 Chloroquine48.0
 Leflunomide40.2
 Sulphasalazine15.6
 Tetracycline16.2
 Azathioprine6.7
 Current DMARDS, 2.0 (1.1)
Biological DMARD, %
 TNF-α inhibitors8.4
 Abatacept2.2
NSAID, %32.9
Prednisone use, %2.2
GFR, ml/min/1.73 m299.3 (87.7–107.6)
Heart rate, beats per minute72 (12)
Framingham score3.02 (5.38)
Echocardiographic measures
1.01 (0.82–1.32)
11.10 (8.01–13.42)
 Lateral , cm/s9.60 (7.68–12.20)
 Septal , cm/s7.94 (6.38–9.64)
 Left ventricular mass index, g/m278.19 (66.11–92.72)
 Left ventricular hypertrophy, %19.3
 Left ventricular RWT0.44 (0.08)
 Concentric remodeling, %55.1
 Stroke volume, ml56.10 (20.21)
 Ejection fraction, %58.66 (13.20)
 Depressed ejection fraction, %21
 Left atrial volume, ml36.28 (11.51)
 Left atrial volume index, ml/m220.47 (5.92)
 Increased LAVI, %2.8
Classification of DD
 DD by previous criteria, %58.6
 DD by new criteria, %22.0

SBP, systolic blood pressure; DBP, diastolic blood pressure; HDL, high-density lipoprotein; LDL, low-density lipoprotein; HOMA-IR, homeostasis model of insulin resistance; ACPA, anti-citrullinated protein antibody; CDAI, clinical disease activity index; DAS28, disease activity score in 28 joints; ESR, erythrocyte sedimentation rate; CRP, C-reactive protein; HAQ-DI, Health Assessment Questionnaire disability index; DMARD, disease-modifying antirheumatic drugs; NSAID, nonsteroidal anti-inflammatory drugs; GFR, glomerular filtration rate; RWT, relative wall thickness; LAVI, left atrial volume index; DD, diastolic dysfunction.