ISSN 2147-9720 | E-ISSN 2148-4279
Original Article
Frequency of pulmonary hypertension in transthoracic echocardiography screening is not increased in Takayasu arteritis: Experience from a single center in Turkey
1 Division of Rheumatology, Department of Internal Medicine, Acıbadem University School of Medicine, İstanbul, Turkey  
2 Division of Rheumatology, Department of Internal Medicine, Trakya University School of Medicine, Edirne, Turkey  
3 Department of Cardiology, Ege University School of Medicine  
4 Division of Rheumatology, Department of Internal Medicine, Dokuz Eylül University School of Medicine, İzmir, Turkey  
5 Division of Rheumatology, Department of Internal Medicine, Ege University School of Medicine, İzmir, Turkey  
6 Division of Rheumatology, Department of Internal Medicine, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey  
Eur J Rheumatol ; : -
DOI: 10.5152/eurjrheum.2018.17052
Key Words: Pulmonary arteritis, pulmonary hypertension, Takayasu arteritis
Abstract

Objective: Pulmonary hypertension (PH) may occur in Takayasu arteritis (TA), mostly due to pulmonary arteritis, but also due to left heart disease and/or chronic thromboembolism (CTE). Using transthoracic echocardiography (TTE), we investigated the frequency of PH caused by pulmonary arteritis.


Methods
: This cross-sectional study included 70 patients with TA fulfilling the 1990 ACR criteria, 68 healthy controls, and 67 patients with systemic sclerosis (SSc) fulfilling the 1980 ACR criteria representing the disease control group. Patients with severe left heart disease or CTE were excluded. The ESC-ERS guideline definition was considered for diagnosis of PH.


Results
: The mean systolic pulmonary artery pressure (SPAP) values in TA, SSc, and healthy control groups were 20.93±6.06, 31.57±12.75, and 18.88±5.39 mmHg, respectively. While the SPAP values were similar between TA and healthy groups, the SPAP values in the SSc group were significantly higher than in other groups. Based on conventional and/or magnetic resonance angiography findings, pulmonary arteritis was present in 4 out of 70 TA patients; however, PH was not detected in any patients with TA, including those with pulmonary arteritis.


Conclusion
: The TTE findings suggested that the frequency of PH was not increased in TA. However, a low frequency of pulmonary arteritis in our series might have affected our results.


Cite this article as
: Kalfa M, Emmungil H, Musayev O, Soysal Gündüz Ö, Yılmaz Z, İnal V, et al. Frequency of pulmonary hypertension in transthoracic echocardiography screening is not increased in Takayasu arteritis: experience from a single center in Turkey. Eur J Rheumatol DOI: 10.5152/eurjrheum.2018.17052

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