Across rheumatic diseases

Cardiac strain in patients on Janus Kinase inhibitors for rheumatic diseases: a 1-year echocardiographic study

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

In this cohort, JAKi did not result in significant changes in cardiac strain or function over one year in patients with ARDs, suggesting that JAKi may not have a detrimental impact on cardiac function in the short term.

Study context

Population
Patients with RA, PsA or axSpA initiating a janus kinase inhibitors (JAKi) in routine clinical practice, Greececompleted the study
Participants
30 patients
Exposure
JAKi: 12 months vs baseline
  • axSpAn = 12
  • RAn = 10
  • PsAn = 8
Outcome
Cardiac strain and function: GLS, EF, RV function (RV GLS, TAPSE, S'RV), diastolic function (E/A, E/E')
Follow-up
12 months
Methodological detailssingle-group, before–after (baseline, 6 and 12 months), speckle-tracking echocardiography
  • Single-group
  • Before–after (baseline, 6 and 12 months)
  • Speckle-tracking echocardiography

Main finding

As reported in the abstract

Cardiac strain and function · baseline to 12 months
  • No significant changes in global longitudinal strain (GLS), ejection fraction (EF), E/A, E/E', TAPSE, S'RV or heart rate
  • GLS of the left ventricle did not decline

Observational data: associations, not effects.

Further findings

Disease activity

Significantly improved across all cohorts

Original publication

Cardiac strain in patients on Janus Kinase inhibitors for rheumatic diseases: a 1-year echocardiographic study. Clin Exp Rheumatol. Published 27 May 2025. doi:10.55563/clinexprheumatol/al5kv6

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