Rheumatoid arthritis

Prevalence and clinical significance of electrocardiographic signs of atrial myopathy in rheumatoid arthritis: results from the EDRA study

Clin Exp RheumatolPublished Retrospective analysis of a prospective cohort (EDRA study) with matched controls

Main finding · Atrial myopathy prevalenceResult — go to the resultOdds ratio 4.83 95% CI 1.58–14.73

Authors' conclusion

Electrocardiographic markers of atrial myopathy are independently associated with RA.

Study context

Population
Rheumatoid arthritis (RA) patients and matched controls, all free from previous CVD and AF
Participants
218 vs 109
Exposure
RA vs controls matched by age and gender
  • RAn = 218
  • Controlsn = 109reference
Outcome
Prevalence of ECG-defined atrial myopathy (aIAB, or pIAB plus abnormal PtfV1)
Methodological detailscontrols matched by age and gender, multiple regression, 5-year follow-up of RA patients
  • Controls matched by age and gender
  • Multiple regression
  • 5-year follow-up of RA patients

Main finding

Atrial myopathy prevalence

Odds ratio

4.83

95% CI 1.58–14.73

P = 0.006

By group

RAvs Controls
OR 4.83 (95% CI 1.58–14.73); P = 0.006

As reported in the abstract

Observational data: associations, not effects.

Further findings

P-wave duration

P < 0.001

pIAB prevalence

P < 0.001

Abnormal PtfV1 prevalence

P < 0.001

Male gender and atrial myopathy (multiple regression)

Male gender, OR [95% CI] 3.09 [1.48-6.47], p=0.003

Atrial myopathy and incident AF or cardiovascular events in RA · 5 years

Not significantly associated

Original publication

Prevalence and clinical significance of electrocardiographic signs of atrial myopathy in rheumatoid arthritis: results from the EDRA study. Clin Exp Rheumatol. Published 9 July 2022. doi:10.55563/clinexprheumatol/d9l4lt

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