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Review
. 2022 Jun 3;14(6):e25633.
doi: 10.7759/cureus.25633. eCollection 2022 Jun.

Cardiovascular Morbidity in Ankylosing Spondylitis: A Focus on Inflammatory Cardiac Disease

Affiliations
Review

Cardiovascular Morbidity in Ankylosing Spondylitis: A Focus on Inflammatory Cardiac Disease

Pradnya Brijmohan Bhattad et al. Cureus. .

Abstract

Ankylosing spondylitis (AS) is associated with an increase in cardiovascular (CV) morbidity when compared to the general population. The increased risk of CV involvement in AS is likely multifactorial including inflammation accelerating atherosclerosis and the cardiac inflammation itself in the form of aortitis and conduction anomalies. Establishing indisputable evidence linking AS and CV disease is challenging due to AS being relatively rare and it affects 1:1,000 and all studies analyzing the association between AS and CV disease involve a small sample size making long-term outcome measurements limited. The article reviews the literature studying the association between AS and CV disease as well as the impact of therapies for AS on the CV system (CVS).

Keywords: ankylosing spondylitis; cardiovascular mortality; inflammatory cardiac disease; seronegative spondyloarthropathy; spondyloarthritis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Ankylosing spondylitis. Braun J, Sieper J. Lancet. 2007;369:1379–1390. - PubMed
    1. Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL. Harrison's Principles of Internal Medicine, Twentieth Edition. New York, NY: McGraw-Hill Education; 2018. The spondyloarthritides.
    1. Patients with ankylosing spondylitis have increased cardiovascular and cerebrovascular mortality: a population-based study. Haroon NN, Paterson JM, Li P, Inman RD, Haroon N. Ann Intern Med. 2015;163:409–416. - PubMed
    1. Cardiovascular morbidity, and mortality in patients with spondylarthritis: a meta-analysis. Kim JH, Choi IA. Int J Rheum Dis. 2020;24:477–486. - PubMed
    1. Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis. Feldtkeller E, Khan MA, van der Heijde D, van der Linden S, Braun J. Rheumatol Int. 2003;23:61–66. - PubMed

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