Symptomatic cardiac involvement in juvenile rheumatoid arthritis

dc.contributor.authorGoldenberg, José [UNIFESP]
dc.contributor.authorFerraz, Marcos Bosi [UNIFESP]
dc.contributor.authorDuarte, Angela Luzia Branco Pinto [UNIFESP]
dc.contributor.authorFonseca, Antonio Sergio Macedo [UNIFESP]
dc.contributor.authorCarvalho, Antonio Carlos [UNIFESP]
dc.contributor.authorHilario, Maria Odete Esteves [UNIFESP]
dc.contributor.authorAtra, Edgard [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T11:40:05Z
dc.date.available2016-01-24T11:40:05Z
dc.date.issued1992-01-01
dc.description.abstractIn a retrospective study of 172 patients with juvenile rheumatoid arthritis, symptomatic cardiac involvement occurred in 13 (7.6%) patients (11 systemic and 2 polyarticular). There was predominance of the male sex and in most patients the involvement occurred in the initial years of the disease. Pericarditis occurred in seven patients; perimyocarditis in four and myocarditis in two patients. in the follow-up, one of the patients with pericarditis died of an arrhythmia during pericardiocentesis for cardiac tamponade. Among the patients with myocarditis, three died of septicemia during active disease. One of these three patients had myocarditis associated with cardiac tamponade. Among the 172 patients with juvenile rheumatoid arthritis, five children died; four belonged to the symptomatic cardiac involvement group (P < 0.001). Cardiac involvement, in particular myocarditis and cardiac tamponade, can be regarded as a factor of worse prognosis.en
dc.description.affiliationESCOLA PAULISTA MED SCH,DEPT MED,DIV CARDIOL & RHEUMATOL,BR-04023 São Paulo,BRAZIL
dc.description.affiliationESCOLA PAULISTA MED SCH,DEPT PEDIAT,DIV ALLERGY IMMUNOL & RHEUMATOL,BR-04023 São Paulo,BRAZIL
dc.description.affiliationUnifespESCOLA PAULISTA MED SCH,DEPT MED,DIV CARDIOL & RHEUMATOL,BR-04023 São Paulo,BRAZIL
dc.description.affiliationUnifespESCOLA PAULISTA MED SCH,DEPT PEDIAT,DIV ALLERGY IMMUNOL & RHEUMATOL,BR-04023 São Paulo,BRAZIL
dc.description.sourceWeb of Science
dc.format.extent57-62
dc.identifierhttp://dx.doi.org/10.1016/0167-5273(92)90082-E
dc.identifier.citationInternational Journal of Cardiology. Clare: Elsevier Sci Ireland Ltd, v. 34, n. 1, p. 57-62, 1992.
dc.identifier.doi10.1016/0167-5273(92)90082-E
dc.identifier.issn0167-5273
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/25237
dc.identifier.wosWOS:A1992GX89500007
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofInternational Journal of Cardiology
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectJUVENILE RHEUMATOID ARTHRITISen
dc.subjectMYOCARDITISen
dc.subjectPERICARDITISen
dc.subjectCARDIAC INVOLVEMENTen
dc.titleSymptomatic cardiac involvement in juvenile rheumatoid arthritisen
dc.typeArtigo
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