Skip to main content
Log in

Pericarditis in rheumatoid arthritis

A clinical and radiological study

  • Originals
  • Published:
Rheumatology International Aims and scope Submit manuscript

Summary

The annual incidence of clinically manifest pericarditis was found to be 0.34% in 157 females and 0.44% in 77 males with rheumatoid arthritis, observed for a mean time of 5.7 years. The development of pericarditis was independent of disease duration, but was related to extensive joint involvement, subcutaneous nodules, and a high Waaler Rose titre. Concomitant pleural effusion was present in four of five patients. Pericarditis in rheumatoid arthritis may indicate a serious prognosis quo ad vitam. Four of the five patients died within eight years, but their age at death was relatively high (62–73 years).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Hurd ER (1979) Extraarticular manifestations of rheumatoid arthritis. Semin Arthritis Rheum 3:151–176

    Google Scholar 

  2. Turner RA, Collins R, Nomeir AM (1978/79) Extra-articular manifestations of rheumatoid arthritis. Bull Rheum Dis 29:986–998

    Google Scholar 

  3. Iveson JMI, Pomerance A (1977) Cardiac involvement in rheumatoid arthritis. Clin Rheum Dis 3:467–500

    Google Scholar 

  4. Khan AH, Spodick DH (1972) Rheumatoid heart disease. Semin Arthritis Rheum 1:327–337

    Google Scholar 

  5. Wilkinson M (1962) Rheumatoid pericarditis. A report of four cases. Br Med J 2:1723–1726

    Google Scholar 

  6. Kirk J, Cosh J (1969) The pericarditis of rheumatoid arthritis. Q J Med 38:397–423

    Google Scholar 

  7. Gordon DA, Stein JL, Broder I (1973) The extra-articular features of rheumatoid arthritis. A systemic analysis of 127 cases. Am J Med 54:445–452

    Google Scholar 

  8. Fingerman DL, Andrus FC (1943) Visceral lesions associated with rheumatoid arthritis. Ann Rheum Dis 3:168–181

    Google Scholar 

  9. Young D, Schwedel JB (1944) The heart in rheumatoid arthritis — a study of thirty-eight autopsy cases. Am Heart J 28:1–23

    Google Scholar 

  10. Nomeir AM, Turner R, Watts E, Smith D, West G, Edmond J (1973) Cardiac involvement in rheumatoid arthritis. Ann Intern Med 79:800–806

    Google Scholar 

  11. Prakash R, Atassi A, Poske R, Rosen KM (1973) Prevalence of pericardial effusion and mitral valve involvement in patients with rheumatoid arthritis without cardiac symptoms. N Engl J Med 289:597–600

    Google Scholar 

  12. Bacon PA, Gibson DG (1974) Cardiac involvement in rheumatoid arthritis. An echocardiographic study. Ann Rheum Dis 33:20–24

    Google Scholar 

  13. MacDonald WJ, Crawford MH, Klippel JH, Zwaifler NJ, O'Rourke RA (1977) Echocardiographic assessment of cardiac structure and function in patients with rheumatoid arthritis. Am J Med 63/6:890–896

    Google Scholar 

  14. Jurik AG, Davidsen D, Graudal H (1982) Prevalence of pulmonary involvement in rheumatoid arthritis and its relationship to some characteristics of the patients. A radiological and clinical study. Scand J Rheumatol 11:217–224

    Google Scholar 

  15. Jurik AG, Davidsen D, Graudal H (1984) Prevalence of cardiac and aortic enlargement in rheumatoid arthritis and its relationship to some characteristics of the patients. Rheumatol Int 5:15–19

    Google Scholar 

  16. Amundsen P (1959) The diagnostic value of conventional radiological examination of the heart in adults. Acta Radiol [Suppl] (Stockh) 181:6–21

    Google Scholar 

  17. Lusted LB, Keats TE (1978) Atlas of roentgenographic measurements. Year Book Medical Publishers, Chicago London

    Google Scholar 

  18. Lipman BS, Massie E, Kleiger RE (1972) Clinical scalar electrocardiography, 6th edn. Year Book Medical Publishers, Chicago

    Google Scholar 

  19. Jurik AG, Graudal HG (1983) Pleurisy in rheumatoid arthritis. Scand J Rheumatol 12:75–80

    Google Scholar 

  20. Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol [Diagn] (Stockh) 18:481–491

    Google Scholar 

  21. Thadani U, Iveson JMI, Wright V (1975) Cardiac tamponade, constrictive pericarditis and pericardial resection in rheumatoid arthritis. Medicine 54:261–270

    Google Scholar 

  22. Franco AE, Levine HD, Hall AP (1972) Rheumatoid pericarditis. Report of 17 cases diagnosed clinically. Ann Intern Med 77:837–844

    Google Scholar 

  23. Vroninks P, Cats A, Goslings J (1972). Les péricardites de la polyarthrite rheumatoïde. A propos d'une étude de 19 cas. Rev Rhum 39:351–357

    Google Scholar 

  24. Lebowitz WB (1963) The heart in rheumatoid arthritis. A clinical and pathological study of 62 cases. Ann Intern Med 58:102–123

    Google Scholar 

  25. Grossman LA, Kaplan HJ, Ownby FD, Grossman M (1962) Acute pericarditis. With subsequent clinical rheumatoid arthritis. Arch Intern Med 19:665–672

    Google Scholar 

  26. Burney DP, Martin CE, Thomas CS, Fisher RD, Bender HW (1979) Rheumatoid pericarditis. Clinical significance and operative management. J Thorac Cardiovasc Surg 77:511–515

    Google Scholar 

  27. Hart FD, Golding JR, MacKenzie DH (1957) Neuropathy in rheumatoid disease. Ann Rheum Dis 16:471–480

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jurik, A.G., Graudal, H. Pericarditis in rheumatoid arthritis. Rheumatol Int 6, 37–42 (1986). https://doi.org/10.1007/BF00270663

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00270663

Key words

Navigation