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Angiology
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Cardiac Alterations in Ankylosing Spondylitis

Mario G. Alves

Department of Cardiology and Section of Rheumatology, Sta. Maria University Hospital, Lisbon, Portugal

Jorge Espirito-Santo

Department of Cardiology and Section of Rheumatology, Sta. Maria University Hospital, Lisbon, Portugal

Mario V. Queiroz

Department of Cardiology and Section of Rheumatology, Sta. Maria University Hospital, Lisbon, Portugal

Hugo Madeira

Department of Cardiology and Section of Rheumatology, Sta. Maria University Hospital, Lisbon, Portugal

Eduardo Macieira-Coelho

Department of Cardiology and Section of Rheumatology, Sta. Maria University Hospital, Lisbon, Portugal

Forty patients, 30 men and 10 women with an average age of 38.47 ± 11.07 years, suffering from ankylosing spondylitis and attending a Rheumatology Outpatient Clinic, were evaluated for cardiovascular involvement. The evaluation was based on patients' clinical observation, electrocardiography, echocardiography, and chest x-ray. More than a simple review, this study was undertaken with the aim of arriving at a better clinical definition of the cardiovascular manifestations found in ankylosing spondylitis. In fact, of the 40 patients, 8 (20%) had systemic hypertension for which an explanation could not be found, 4 of whom were less than forty-five years old; the echocardiogram showed mitral valve prolapse in 4 patients (10%), 2 of them with a systolic murmur and other 2 with a protosystolic click on auscultation. More significant than the changes in conduction was the finding of a sinus bradycardia in 9 patients (22.5%), and a PR interval below 120 msec in 3 patients (7.5%). The authors conclude that the extension of cardiovascular changes in ankylosing spondylitis is more vast than usually acknowledged.

Angiology, Vol. 39, No. 7, 567-571 (1988)
DOI: 10.1177/000331978803900702
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